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
Allister Gibbons 900 Nw17th St, Miami, FL 33136-1134 OPHTHALMOLOGY
Yelena Bondar 8932 Sw 97th Ave, Miami, FL 33176-1936 NURSE PRACTITIONER
Nelson Milhet 1400 Nw 10th Ave, Miami, FL 33136-1020 NURSE PRACTITIONER
Marilia Nery 8932 Sw 97th Ave, Miami, FL 33176-1936 FAMILY PRACTICE
Steven Saraf 900 Nw17th St, Miami, FL 33136-1119 OPHTHALMOLOGY
George Garcia 1611 Nw 12 Ave, Miami, FL 33136-1005 GENERAL SURGERY
Rene Hernandez Cardenache 1400 Nw 10th Ave, Miami, FL 33136-1020 CLINICAL PSYCHOLOGIST
Heather Brunell 1475 Nw 12th Ave, Miami, FL 33136-1086 PHYSICIAN ASSISTANT
Gilberto Soto 1475 Nw12th Ave, Miami, FL 33136-1002 CERTIFIED REGISTERED NURSE ANESTHETIST
Gabriel Ruiz 1611 Nw12th Ave, Miami, FL 33136-1005 CRITICAL CARE (INTENSIVISTS)
Byron Lam 900 Nw17th St, Miami, FL 33136-1134 OPHTHALMOLOGY
Adrian Ishkanian 1475 Nw 12th Ave, Miami, FL 33136-1086 RADIATION ONCOLOGY
Juanita Hunter 1475 Nw 12th Ave, Miami, FL 33136-1002 PEDIATRIC MEDICINE
Jana Wheatman 8932 Sw 97th Ave, Miami, FL 33176-1936 PHYSICIAN ASSISTANT
Dania Cioni 1475 Nw 12th Ave, Miami, FL 33136-1002 DIAGNOSTIC RADIOLOGY
Catherine Choi 7101 Fairway Dr, Palm Beach Gardens, FL 33418-3701 OPHTHALMOLOGY
Paul Palmberg 900 Nw17th St, Miami, FL 33136-1134 OPHTHALMOLOGY
Dolores Perdomo 1695 Nw 9th Ave, Miami, FL 33136-1409 CLINICAL SOCIAL WORKER
Tamar Ference 900 Nw 17th St, Miami, FL 33136-1119 PHYSICAL MEDICINE AND REHABILITATION
Renaldo Roache 1475 Nw12th Ave, Miami, FL 33136-1002 CERTIFIED REGISTERED NURSE ANESTHETIST

Zip 33136 · General Practice · Medicare Physician

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

Zip 33136 · Medicare Physician

Name Address Specialty
Jeong Hee Cho 1611 Nw 12th Ave, Miami, FL 33136-1015 PATHOLOGY
Gabriela Rojas-rosario 1611 Nw 12 Ave, Miami, FL 33136-1005 INTERNAL MEDICINE
Vanessa Perez 1611 Nw 12 Ave, Miami, FL 33136-1005 NURSE PRACTITIONER
Georgios Lemonakis 1475 Nw12th Ave, Miami, FL 33136-1002 CERTIFIED REGISTERED NURSE ANESTHETIST
Susanna Tamkins 900 Nw 17th St, Miami, FL 33136-1119 OPTOMETRY
Ashley Berg 1611 Nw 12 Ave, Miami, FL 33136-1005 NURSE PRACTITIONER
Julia Magers 1400 Nw 12 Ave, Miami, FL 33136-1003 NURSE PRACTITIONER
Sergei Roda 1475 Nw12th Ave, Miami, FL 33136-1002 CERTIFIED REGISTERED NURSE ANESTHETIST
Luis Rizo 1611 Nw 12 Ave, Miami, FL 33136-1005 FAMILY PRACTICE
Yao Shan Fan 1611 Nw 12th Ave, Miami, FL 33136-1015 PEDIATRIC MEDICINE
Angel Triana 1475 Nw12th Ave, Miami, FL 33136-1002 DERMATOLOGY
Amanda Fifi 1611 Nw 12 Ave, Miami, FL 33136-1005 PEDIATRIC MEDICINE
Laurence Gardner 1475 Nw 12th Ave, Miami, FL 33136-1002 INTERNAL MEDICINE
Armando Ruiz 1611 Nw 12 Ave, Miami, FL 33136-1005 DIAGNOSTIC RADIOLOGY
Ranjith Ramasamy 1150 Nw14th St, Miami, FL 33136-2114 UROLOGY
Nahida Chakhtoura 1321 Nw 14th St, Miami, FL 33136-1653 OBSTETRICS/GYNECOLOGY
Jacqueline Ferreira 1611 Nw 12 Ave, Miami, FL 33136-1005 ENDOCRINOLOGY
Yessica Salazar 1611 Nw 12 Ave, Miami, FL 33136-1005 NURSE PRACTITIONER
Ramon Alegret 1611 Nw 12th Ave, Miami, FL 33136-1005 ANESTHESIOLOGY
David Monash 1400 Nw12th Ave, Miami, FL 33136-1003 CERTIFIED REGISTERED NURSE ANESTHETIST