Provider Demographics
NPI:1770883027
Name:CARMENATE, ALIUSKA (MD)
Entity type:Individual
Prefix:
First Name:ALIUSKA
Middle Name:
Last Name:CARMENATE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALIUSKA
Other - Middle Name:
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4770 BISCAYNE BLVD STE 1450
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3237
Mailing Address - Country:US
Mailing Address - Phone:786-536-2003
Mailing Address - Fax:800-536-1148
Practice Address - Street 1:4770 BISCAYNE BLVD STE 1450
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3237
Practice Address - Country:US
Practice Address - Phone:786-536-2003
Practice Address - Fax:800-536-1148
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116206207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008952800Medicaid
FLHT333ZMedicare PIN