Individual
CARLOS RODRIGO CARRACEDO URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 436-5000
Mailing address
13041 NW 1ST ST APT 202, PEMBROKE PINES, FL 33028-3219
(754) 209-8097
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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