Blue Diamond Medical Center Corp.
NPI 1245967587ActiveOrganization· Nurse Practitioner, Family· Miami Lakes, FL
Nurse Practitioner, Family in Miami Lakes, Florida, registered in NPPES in August 2022. The authorized official on file is Marcos Jose Carvajal, APRN, Aprn-Fnp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245967587 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 5, 2022 |
| Last updated in NPPES | Apr 15, 2023 |
| Certified by provider | Apr 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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