Individual
CARLOS LUIS URTEAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7000 SW 87TH CT, APT. 205, MIAMI, FL 33173-2526
(786) 752-0135
Mailing address
7000 SW 87TH CT, APT. 205, MIAMI, FL 33173-2526
(786) 752-0135
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA63416
FL
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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