Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 35.140320 | OH |
NPI | 1750722781 |
---|---|
Provider Name | Andres Eduardo Carmona Rubio |
First Address | Cleveland, OH 44195-0002 |
Second Address | Cleveland, OH 44195-3021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2013 |
Last Update Date | 26/01/2021 |