Individual
WILFREDO CARRENO
Active
Individual
WILFREDO CARRENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA03522800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099969000
AMERIHEALTH
NJ
01
—
113835
AETNA
NJ
01
—
6521935005
CIGNA
NJ
01
—
P655280
OXFORD
NJ
Enumeration date
07/16/2006
Last updated
08/17/2010
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