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Individual

DR. CARMEN R URIBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15122 SW 72ND ST, MIAMI, FL 33193-3228
(305) 383-3848
(305) 383-7601
Mailing address
6638 SW 112TH CT, MIAMI, FL 33173-1976
(305) 383-3848
(305) 383-7601

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0034811
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME34811
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039010102
FL
05
373907400
FL
01
ME0034811
MEDICAL LICENSE
FL
Enumeration date
05/20/2006
Last updated
03/07/2023
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