Individual
CARLOS ALBERTO PEDRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5021 W 6TH AVE, HIALEAH, FL 33012-3833
(305) 558-1203
(305) 558-1213
Mailing address
6620 W 2ND CT APT 113, HIALEAH, FL 33012-6701
(786) 991-5779
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29814
FL
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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