DR. CARLOS F FUSTER M.D.
NPI 1639128234
Pediatrics in Miami, FL
NPI Status: Active since May 09, 2006
Contact Information
11760 BIRD RD
SUITE 550
MIAMI, FL
ZIP 33175
Phone: (305) 227-0088
Fax: (305) 227-7411
- Individual
- Male
- Pediatrics
- Accepts Insurance
- CLIA Number: 10D0882983
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-18-2026
About CARLOS FUSTER
This page provides the complete NPI Profile along with additional information for Carlos Fuster, a pediatrician established in Miami, Florida with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1639128234 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X with license number ME51204 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1639128234
- Provider Name
- DR. CARLOS F FUSTER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11760 BIRD RD SUITE 550 MIAMI, FL 33175
- Location Phone
- (305) 227-0088
- Location Fax
- (305) 227-7411
- Mailing Address
- 11760 BIRD RD SUITE 550 MIAMI, FL 33175
- Mailing Phone
- (305) 227-0088
- Mailing Fax
- (305) 227-7411
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-09-2006
- Last Update Date
- 09-22-2020
- Code Navigator
A pediatrician like Carlos Fuster is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME51204
- License State
- FL
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 042037900 | MEDICAID (05) | FL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0882983
- Facility Type
- Physician Office
- Certificate Effective Date
- February 19, 2024
- Certificate Expiration Date
- February 18, 2026
- Laboratory Director
- CARLOS F. FUSTER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Carlos Fuster to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DR. CARLOS F FUSTER M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 2 | 8 | 2 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 2 | 16 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 2 + 1 + 6 + 2 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1639128234 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356333900 | DR. LEONCIO V GONZALEZ OD Individual | Optometrist | 11760 BIRD RD SUITE 101 MIAMI, FL 33175 (305) 220-8333 |
| 1528040086 | ENRIQUE C FERNANDEZ MD Individual | Family Medicine | 11760 BIRD RD SUITE 502 MIAMI, FL 33175 (305) 559-9732 |
| 1831168442 | DR. RODOLFO MARTINEZ M.D. P.A. Individual | Surgery | 11760 BIRD RD SUITE 734 MIAMI, FL 33175 (305) 227-3388 |
| 1558486498 | DESSISLAVA V BONEVA MD Individual | Surgery (Trauma Surgery) | 11760 BIRD RD SUITE 722 MIAMI, FL 33175 (305) 559-1883 |
| 1841400587 | DR. MATTHEW JAMES DEETER MD Individual | Surgery | 11760 BIRD RD SUITE 722 MIAMI, FL 33175 (305) 559-1883 |
| 1932383460 | ENRIQUE C FERNANDEZ MD PA Organization | Family Medicine | 11760 BIRD RD SUITE 741 MIAMI, FL 33175 (305) 559-9732 |
| 1184895088 | BERNARDO R GARCIA-GRANDA MD PA Organization | Psychiatry & Neurology (Psychiatry) | 11760 BIRD RD SUITE 539 MIAMI, FL 33175 (305) 228-6200 |
| 1336312982 | PABLO J ACEBAL MD PA Organization | Preferred Provider Organization | 11760 BIRD RD 606 MIAMI, FL 33175 (305) 273-3355 |
| 1497912877 | DR. MATTHEW G CLARKE M.D. Individual | Orthopaedic Surgery | 11760 BIRD RD SUITE 722 MIAMI, FL 33175 (305) 559-1883 |
| 1306000955 | JOSE PEREZ-TIRSE MD PA Organization | Internal Medicine (Infectious Disease) | 11760 BIRD RD SUITE 502 MIAMI, FL 33175 (305) 226-8484 |
| 1730339078 | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC Organization | Dermatology | 11760 BIRD RD #452 MIAMI, FL 33175 (305) 227-9233 |
| 1316268337 | GASTROINTESTINAL SPECIALISTS OF MIAMI INC Organization | Internal Medicine (Gastroenterology) | 11760 BIRD RD SUITE 642 MIAMI, FL 33175 (305) 223-5858 |
| 1629371695 | LEONCIO V GONZALEZ OD PA Organization | Eyewear Supplier | 11760 BIRD RD SUITE 101 MIAMI, FL 33175 (305) 220-8333 |
| 1285873620 | WALTER RAMIREZ MD PA Organization | Internal Medicine (Interventional Cardiology) | 11760 BIRD RD SUITE 622A MIAMI, FL 33175 (305) 559-9860 |
| 1720421050 | FXM RESEARCH CORPORATION Organization | Clinic/Center (Research) | 11760 BIRD RD SUITE 452 MIAMI, FL 33175 (305) 220-5222 |
| 1043654122 | FXM RESEARCH INTERNATIONAL, INC Organization | Clinic/Center (Research) | 11760 BIRD RD SUITE 452 MIAMI, FL 33175 (305) 220-5222 |
| 1891748364 | DR. LOUDES PILA COLLAZO M.D Individual | Neuromusculoskeletal Medicine, Sports Medicine | 11760 BIRD RD MIAMI, FL 33175 (305) 227-0088 |
| 1609003318 | RAYMOND RODRIGUEZ ACNP Individual | Nurse Practitioner (Acute Care) | 11760 BIRD RD SUITE 722 MIAMI, FL 33175 (305) 559-1857 |
| 1548679731 | LAWNWOOD HEALTHCARE SPECIALISTS LLC Organization | Nurse Practitioner (Acute Care) | 11760 BIRD RD SUITE 722 MIAMI, FL 33175 (305) 559-1857 |
| 1336160258 | MR. ERIC W BUSSEAR P.A. Individual | Physician Assistant | 11760 BIRD RD SUITE 451 MIAMI, FL 33175 (305) 227-9233 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639128234, enumerated in the NPI registry as an "individual" on May 09, 2006
The provider is located at 11760 Bird Rd Suite 550 Miami, Fl 33175 and the phone number is (305) 227-0088
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: AvMed, Florida Blue (BlueCross BlueShield FL),. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D0882983 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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