Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | ME119578 | FL |
NPI | 1013229707 |
---|---|
Provider Name | Dr. Carlos Eliu Duran-Martinez |
First Address | Fort Lauderdale, FL 33316-1113 |
Second Address | Fort Lauderdale, FL 33316-1113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2010 |
Last Update Date | 05/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
011906800 | (05) | FL |
HV508Z | (02) | FL |