Individual
CARLOS ANDRES BUITRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 N RIVERSIDE AVE STE B, RIALTO, CA 92377-4697
(909) 644-4063
Mailing address
6608 SURF AVE, ARVERNE, NY 11692-2301
(917) 288-1542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A164374
CA
207RG0100X
Gastroenterology Physician
Primary
A164374
CA
Other
Enumeration date
03/19/2018
Last updated
01/18/2025
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