Individual
TERESA MARTIN-CARRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME150020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111190900
—
FL
01
—
IJ73P
BCBS
FL
01
—
N9409
MEDICARE PTAN OHRI
FL
01
—
PS130
MEDICARE PTAN OHMG
FL
Enumeration date
04/23/2015
Last updated
03/28/2023
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