Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME89117 | FL |
Y | 2080P0210X | Pediatric Nephrologist | ME89117 | FL |
NPI | 1801976915 |
---|---|
Provider Name | Carlos E. Araya |
First Address | Rockland, DE 19732-0191 |
Second Address | Orlando, FL 32806-2944 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 20/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
278600100 | (05) | FL |