Organization
MONTECARLOS HEALTH SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS SALAZAR CUETO ARNP (AUTHORIZED OFFICIAL)
(786) 350-5482
Entity
Organization
Contact information
Practice address
12516 NW 11TH TRL, MIAMI, FL 33182-2467
(786) 350-5482
Mailing address
12516 NW 11TH TRL, MIAMI, FL 33182-2467
(786) 350-5482
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11001832
LICENSE
FL
Enumeration date
06/09/2020
Last updated
06/09/2020
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