Provider Demographics
NPI:1881147767
Name:NAVARRO, CARLOS (NP-C)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9732 SW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7513
Mailing Address - Country:US
Mailing Address - Phone:305-221-0660
Mailing Address - Fax:305-221-0696
Practice Address - Street 1:9732 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7513
Practice Address - Country:US
Practice Address - Phone:305-221-0660
Practice Address - Fax:305-221-0696
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9361517363LP2300X
FLARNP936157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019-032-800Medicaid
FL019-032-800Medicaid