Individual
CARLOS PUIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCM
Contact information
Practice address
1500 W CYPRESS CREEK RD STE 420, FT LAUDERDALE, FL 33309-1874
(954) 807-8956
(954) 807-8957
Mailing address
11401 SW 40TH ST STE 345, MIAMI, FL 33165-3372
(305) 603-7063
(305) 603-8705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
10/19/2020
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