Carlos M A San Mateo General Practice
1475 Nw12th Ave, Miami, FL 33136-1002


Carlos M A San Mateo is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1013159912. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 5294036000. The primary specialty is GENERAL PRACTICE. The organization is UNIVERSITY OF MIAMI. The address is 1475 Nw12th Ave, Miami, FL 33136-1002. The zip code is 33136.


Carlos M A San Mateo · 1475 Nw12th Ave, Miami, FL 33136-1002

Nation Provider ID 1013159912
PAC ID by PECOS 5294036000
Professional Enrollment ID I20151221002571
Last Name SAN MATEO
First Name CARLOS
Middle Name M A
Gender M
Medical School Name BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2009
Primary Specialty GENERAL PRACTICE
Secondary Specialties COLORECTAL SURGERY (PROCTOLOGY)
Primary Specialty UNIVERSITY OF MIAMI
Phone Number 3052434211
Group Practice PAC ID 1759288707
Number of Group Practice Members 90
Address 1475 NW12TH AVE
MIAMI, FL 331361002
Claims Based Hospital Affiliation Claim Control Number (CCN): 100022
Legal Business Name: JACKSON MEMORIAL HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 100079
Legal Business Name: UNIVERSITY OF MIAMI HOSPITAL AND CLINICS
Claims Based Hospital Affiliation Claim Control Number (CCN): 100009
Legal Business Name: UNIVERSITY OF MIAMI HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y

street_number: 1475
route: Northwest 12th Avenue (NW 12th Ave)
neighborhood, political: Allapattah
locality, political: Miami
admin_level_2, political: Miami-Dade County
admin_level_1, political: Florida (FL)
country, political: United States (US)
postal_code: 33136
postal_code_suffix: 1002
types : street_address
latitude: 25.7887329
longitude: -80.2145991
latlng: (25.7887329, -80.2145991)


University of Miami · Medicare Physician

Name Address Specialty
Leisha Bulli-morgan 1666 Nw 10th Ave, Miami, FL 33136-1015 PHYSICIAN ASSISTANT
Tricia Scaglione 1666 Nw 10th Ave, Miami, FL 33136-1015 AUDIOLOGIST
Jill Ketner 1666 Nw 10th Ave, Miami, FL 33136-1015 PHYSICIAN ASSISTANT
Martin Andreansky 1601 Nw 12 Ave, Miami, FL 33136-1005 PEDIATRIC MEDICINE
Laura Del Vecchio 1501 Nw 9th Ave, Miami, FL 33136-1407 NURSE PRACTITIONER
Offiong Ikpatt 1611 Nw 12th Ave, Miami, FL 33136-1015 PATHOLOGY
Christine Dinh 1120 Nw14th St, Miami, FL 33136-2107 OTOLARYNGOLOGY
Fiorella Finetti 1475 Nw12th Ave, Miami, FL 33136-1002 CERTIFIED REGISTERED NURSE ANESTHETIST
Sarah Read 900 Nw17th St, Miami, FL 33136-1119 OPHTHALMOLOGY
Patrick O'connor 311 9th St N, Naples, FL 34102-5885 OPHTHALMOLOGY
Tamar Ference 900 Nw 17th St, Miami, FL 33136-1119 PHYSICAL MEDICINE AND REHABILITATION
Kimberly Watson 8932 Sw 97th Ave, Miami, FL 33176-1936 NURSE PRACTITIONER
Rahul Tonk 7101 Fairway Dr, Palm Beach Gardens, FL 33418-3701 OPHTHALMOLOGY
Siddarth Rathi 900 Nw17th St, Miami, FL 33136-1134 OPHTHALMOLOGY
Dominique Musselman 1400 Nw 10th Ave, Miami, FL 33136-1020 PSYCHIATRY
Alfonso Sabater 900 Nw17th St, Miami, FL 33136-1119 OPHTHALMOLOGY
Brocha Tarshish 1601 Nw12th Ave, Miami, FL 33136-1005 OBSTETRICS/GYNECOLOGY
Maria Rueda Lara 1400 Nw 10th Ave, Miami, FL 33136-1020 PSYCHIATRY
Ana Campo 1400 Nw 10th Ave, Miami, FL 33136-1020 PSYCHIATRY
Danny Yakoub 1611 Nw 12 Ave, Miami, FL 33136-1005 SURGICAL ONCOLOGY

Zip 33136 · General Practice · Medicare Physician

Name Address Specialty
Moises Jacobs 1611 Nw 12 Ave, Miami, FL 33136-1005 GENERAL PRACTICE
Hernaldo Nunez 1611 Nw 12 Ave, Miami, FL 33136-1005 GENERAL PRACTICE

Zip 33136 · Medicare Physician

Name Address Specialty
Douglas Johnson Greene 900 Nw 17th St, Miami, FL 33136-1119 CLINICAL PSYCHOLOGIST
Silvia Delgado 1475 Nw 12th Ave, Miami, FL 33136-2115 NEUROLOGY
Christian Diez 1611 Nw 12th Ave, Miami, FL 33136-1005 ANESTHESIOLOGY
Joe Levi 1611 Nw 12th Ave, Miami, FL 33136-2112 GENERAL SURGERY
Susanna Tamkins 900 Nw 17th St, Miami, FL 33136-1119 OPTOMETRY
Stephen Mcleod-bryant 1400 Nw 10th Ave, Miami, FL 33136-1020 PSYCHIATRY
Juan Sola 1601 Nw 12th Ave, Miami, FL 33136-1005 PEDIATRIC MEDICINE
Tomas Salerno 1611 Nw 12th Ave, Miami, FL 33136-1005 THORACIC SURGERY
Charles Nemeroff 1400 Nw 10th Ave, Miami, FL 33136-1020 PSYCHIATRY
Piotr Tabaczewski 1400 Nw 12 Ave, Miami, FL 33136-1003 INTERNAL MEDICINE
Julio Barredo 1601 Nw 12 Ave, Miami, FL 33136-1005 HEMATOLOGY/ONCOLOGY
Allan Rubinfeld 1400 Nw 12 Ave, Miami, FL 33136-1003 INTERNAL MEDICINE
Heather Drummond 1611 Nw 12 Ave, Miami, FL 33136-1005 NURSE PRACTITIONER
Efrat Saraf Lavi 1611 Nw 12 Ave, Miami, FL 33136-1005 DIAGNOSTIC RADIOLOGY
Nestor Munoz 1611 Nw 12th Ave, Miami, FL 33136-2112 GENERAL SURGERY
Patricia Jones 1475 Nw 12th Ave, Miami, FL 33136-1002 INTERNAL MEDICINE
Claudia Rojas 1611 Nw 12th Ave, Miami, FL 33136-1015 PATHOLOGY
Penny Tenzer 1400 Nw 12 Ave, Miami, FL 33136-1003 FAMILY PRACTICE
Jesus Del Risco 1611 Nw 12 Ave, Miami, FL 33136-1005 CERTIFIED REGISTERED NURSE ANESTHETIST
Luis Rivas 1611 Nw 12 Ave, Miami, FL 33136-1005 DIAGNOSTIC RADIOLOGY