Individual
CARLOS FEDERICO MORAL ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-5437
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-6042
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
31723
FL
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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