Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A96752 | CA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME104992 | FL |
NPI | 1326120049 |
---|---|
Provider Name | Dr. Roy Cardoso |
First Address | Atlanta, GA 30384-0905 |
Second Address | Coral Gables, FL 33146-1174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 14/04/2021 |