Individual
MR. CARLO RAY BITANGA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15344 NW 79TH CT, MIAMI LAKES, FL 33016-5850
(305) 821-0502
(305) 362-5209
Mailing address
19631 NW 77TH CT, HIALEAH, FL 33015-6402
(305) 827-2155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20760
FL
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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