Individual
MR. AGUSTIN DE CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2781 SW 34TH CT, MIAMI, FL 33133-2719
(786) 525-9016
Mailing address
2781 SW 34TH CT, MIAMI, FL 33133-2719
(786) 525-9016
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA57655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316484389
—
FL
Enumeration date
01/27/2017
Last updated
02/08/2023
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