Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Octavio De Jesus Carreno, MD

Individual provider Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1629039409

Octavio De Jesus Carreno, MD is an Otolaryngology in Miami, Florida. Graduated from Tulane University School of Medicine in 1993, 33 years ago. Practices with Premium Healthcare Holdings, LLLP, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
33
Trained at
Tulane University School of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3100 SW 62nd Ave Ste 124
Miami, FL 33155
Phone: (305) 662-8316
Fax: (305) 663-8513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2400 Sw 69th Avenue, Miami, FL 33155-2947 — (305) 450-1757

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X · Licence ME78105 (FL)

Record details

NPI number1629039409
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Premium Healthcare Holdings, Lllp — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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