MEDICARE: VARADERO MEDICAL CENTER OF MIAMI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	25378	OTHER	FL	BCBS OF FL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487618997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VARADERO MEDICAL CENTER OF MIAMI

Provider Business Mailing Address
First Line	:	7925 NW 12TH ST STE 201
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33126-1821
Country	:	US
Telephone Number	:	305-874-3909
Fax Number	:	305-874-3916

Provider Business Practice Location Address
First Line	:	5850 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-3363
Country	:	US
Telephone Number	:	305-263-9590
Fax Number	:	305-263-9657

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PEDRO R CARO
Credential	:	M.D.
Telephone Number	:	305-263-9590

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	11/21/2022

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Directions to “VARADERO MEDICAL CENTER OF MIAMI ” Practice Location

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