# OCTAVIO B CARRENO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568494805
- **Authorized official:** OCTAVIO B CARRENO MD PA (PRESIDENT)
- **Authorized official phone:** (305) 854-4555

## Contact information

- **Practice address:** 3661 SOUTH MIAMI AVE, STE 601, MIAMI, FL 33133-4248
- **Practice address phone:** (305) 854-4555
- **Practice address fax:** (305) 854-4511
- **Mailing address:** 3661 SOUTH MIAMI AVE, STE 601, MIAMI, FL 33133-4248
- **Mailing address phone:** (305) 854-4555
- **Mailing address fax:** (305) 854-4511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME0014312 | FL | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 08/22/2020