Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | ME148498 | FL |
NPI | 1245764976 |
---|---|
Provider Name | Dr. Rey William Carvajal |
First Address | Atlanta, GA 30384-8054 |
Second Address | Miami, FL 33196-6408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2017 |
Last Update Date | 15/06/2021 |