Individual
CARLOS ANGEL DALLERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE FL 33136, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1695 NW 9TH AVE FL 33136, MIAMI, FL 33136-1409
(305) 355-7000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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