CARLOS PRIA D.M.D.
NPI 1811166838
Dentist - General Practice in Miami, FL

Q: What is Carlos Pria's NPI number?

The NPI number for Carlos Pria is 1811166838. It was assigned to this individual provider in the NPPES registry on February 23, 2008.

Q: What is Carlos Pria's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Pria was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since February 23, 2008PECOS Enrolled

3601 FEDERAL HWY, MIAMI, FL 33137(305) 576-6611(786) 476-2818 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 2, 2026, Jul 21, 2022, Jun 14, 2017 and 1 more (4 updates tracked since 2017).

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About Carlos Pria D.m.d. NPPES

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

CARLOS PRIA D.M.D. (NPI 1811166838) is an individual general practice provider in Miami, Florida, licensed in Florida (DN19549) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in North Miami.

NPPES Registry Identity

NPI1811166838

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameCARLOS PRIACredential: D.M.D.

Location Address3601 FEDERAL HWYMiami, FL 33137-3795

Mailing Address3601 Federal HwyMiami, FL 33137-3795 · (305) 576-6611 · Fax (786) 476-2819

Phone(305) 576-6611

Fax(786) 476-2818

Sole ProprietorYes

Enumeration DateFebruary 23, 2008

Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1811166838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN19549

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 19249 (FL)

3601 FEDERAL HWY, Miami, FL 33137

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Secondary Practice Location 1

Location 112601 NE 7th AveNorth Miami, FL 33161-4813 · Phone (305) 576-6611

Other Identifiers 1

Medicaid019578700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Pria D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Carlos Pria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Borinquen Health Care Center, Inc.

Same address

Federally Qualified Health Center (FQHC)

3601 FEDERAL HWY
Miami, FL 33137

Reassigned Medicare billing, Florida enrollment
55 clinicians in this Medicare group

NPI 1407913338 (305) 576-6611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33137 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOS GARCIA

Case Manager/Care Coordinator