Individual
DR. REY WILLIAM CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9555 SW 162ND AVE, MIAMI, FL 33196-6408
(304) 597-8646
(786) 533-9545
Mailing address
1800 LAWRENCE DR, DE PERE, WI 54115-9108
(920) 983-3220
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
84778-20
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
ME148498
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301512799
LICENSE
MI
01
—
84778-20
LICENSE
WI
Enumeration date
04/19/2017
Last updated
01/15/2025
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