Individual
CAROLINA M NOGUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2336 ANDREWS AVE # 2ND, BRONX, NY 10468-6001
(718) 561-5300
Mailing address
261 W 21ST ST APT 28, NEW YORK, NY 10011-3105
(305) 542-6026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
975280357
CIGNA PPO
—
Enumeration date
01/14/2021
Last updated
01/14/2021
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