1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Psychiatry Neurology
  6. NPI Profile

DR. CARMEN L ESPINOSA M. D.
NPI 1154426955
Psychiatry & Neurology - Psychiatry in Miami, FL

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
13550 SW 88TH STREET STE 280, MIAMI, FL 33186(305) 753-7350 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carmen L Espinosa M. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARMEN L ESPINOSA M. D. (NPI 1154426955) is an individual psychiatry provider in Miami, Florida, licensed in Florida (ME-0042092) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Larkin Community Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1154426955
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. CARMEN L ESPINOSACredential: M. D.
Location Address13550 SW 88TH STREET STE 280Miami, FL 33186
Mailing Address13550 Sw 88th Street Ste 280Miami, FL 33186 · (305) 753-7350
Phone(305) 753-7350
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154426955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME-0042092
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
13550 SW 88TH STREET STE 280, Miami, FL 33186
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND63916FL
Medicare ID-Type Unspecified96597FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carmen L Espinosa M. D. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587616313
PECOS Enrollment IDI20050221000070
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
440 services55 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
139 services93 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
70 services53 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Larkin Community Hospital

Acute Care Hospitals · South Miami, FL
OwnershipProprietary
CMS Certification Number100181
Location7031 SW 62nd AveSouth Miami, FL 33143 · Miami-Dade County
Emergency services

Keralty Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100284
Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33186 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Espinosa's NPI number?

The NPI number for Carmen Espinosa is 1154426955. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Carmen Espinosa located?

Carmen Espinosa practices at 13550 SW 88th Street Ste 280, Miami, FL 33186. The listed phone number is (305) 753-7350.

What is Carmen Espinosa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Carmen Espinosa enrolled in Medicare?

Yes. Carmen Espinosa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carmen Espinosa accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 3 other insurers list Carmen Espinosa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carmen Espinosa affiliated with any hospitals?

According to CMS data, Carmen Espinosa is affiliated with Larkin Community Hospital and Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Espinosa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.