OrganizationActive
Carlos Medina MD PA
NPI 1700242617 · Plastic and Reconstructive Surgery Physician · Aventura, FL
Provider details
- NPI number
- 1700242617
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carlos Medina, Owner(786) 817-7808
- License
- ME106831 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21110 Biscayne Blvd Ste 201
Aventura, FL 33180-1251
Phone: (786) 817-7808
Fax: (786) 551-2299
Street-level locationGet directions
Mailing address
1101 Waterside Ln
Hollywood, FL 33019-5005
Additional practice locations (2)
- 11760 Sw 40th St Ste 606Miami, FL 33175-8105Phone: (786) 817-7808Fax: (786) 551-2299
- 10095 N Kendall Dr Ste 103Miami, FL 33176-1797Phone: (786) 817-7808Fax: (786) 551-2299
Registry dates
- Enumerated
- 2016-01-07
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.