Individual
MARIANA CHACON CARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9655 NW 41ST ST, DORAL, FL 33178-2973
(305) 436-1563
Mailing address
9655 NW 41ST ST, DORAL, FL 33178-2973
(305) 436-1563
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME158291
FL
Other
Enumeration date
07/17/2014
Last updated
10/10/2023
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