Individual
CARLOS ENRIQUE BUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
211 W 79TH PL APT 101, HIALEAH, FL 33014-4342
(786) 724-5430
Mailing address
211 W 79TH PL APT 101, HIALEAH, FL 33014-4342
(786) 724-5430
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
22-563
FL
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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