Individual
CARLOS ALBERTO BOTERO
Active
Individual
CARLOS ALBERTO BOTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME72561
FL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME72561
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME72561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050077125
RAILROAD MEDICARE
FL
01
—
32989
BCBS
FL
Enumeration date
12/02/2005
Last updated
02/06/2024
Update your record
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