Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 2901022725 | MI |
N | 1223G0001X | General Practice | DN24849 | FL |
N | 213EG0000X | General Practice | DN24849 | FL |
NPI | 1003390527 |
---|---|
Provider Name | Alejandra M Cartagena |
First Address | Miami, FL 33172-3293 |
Second Address | Miami, FL 33172-3293 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2018 |
Last Update Date | 29/10/2020 |