Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | ME116587 | FL |
NPI | 1659529063 |
---|---|
Provider Name | Dr. Carlos Eduardo Barahona |
First Address | Miami, FL 33130-4361 |
Second Address | Miami, FL 33176-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2008 |
Last Update Date | 24/03/2021 |