Kerenia Carbonell Vico, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Miami, Florida. Her current practice location is
11389 W Flagler St, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 886-3400.
Kerenia Carbonell Vico is licensed to practice in Florida (license number 11014413) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235804899.
Physician's Profile
Full Name | Kerenia Carbonell Vico |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 11389 W Flagler St, Miami, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235804899
- Provider Enumeration Date: 08/14/2021
- Last Update Date: 08/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931596756
- Enrollment ID: I20220426002363
Medical Identifiers
Medical identifiers for Kerenia Carbonell Vico such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235804899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 11014413 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11014413 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kerenia Carbonell Vico is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kerenia Carbonell Vico, NP 13042 Sw 88th Ln, Miami, FL 33186-1629 Ph: (305) 780-9691 | Kerenia Carbonell Vico, NP 11389 W Flagler St, Miami, FL 33174-1185 Ph: (786) 886-3400 |
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