Individual
OCTAVIO DE JESUS CARRENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3100 SW 62ND AVE, STE 124, MIAMI, FL 33155
(305) 662-8316
(305) 663-8513
Mailing address
3100 SW 62ND AVE., STE 124, MIAMI, FL 33155
(305) 662-8316
(305) 663-8513
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
ME78105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432628999
—
ME
Enumeration date
03/31/2006
Last updated
09/14/2021
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