Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 35.099421 | OH |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME135802 | FL |
NPI | 1437344991 |
---|---|
Provider Name | Dr. Carlos A. Higuera Rueda |
First Address | Weston, FL 33326-1719 |
Second Address | Weston, FL 33331-3625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2007 |
Last Update Date | 01/10/2020 |