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NPI Code Detail

MEDICARE: RENATA PERUCHI CARVALHO MD

MEDICARE:   RENATA PERUCHI CARVALHO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1265320766
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENATA PERUCHI CARVALHO MD
Provider Business Mailing Address
First Line : 6001 SW 70TH ST APT 336
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-3426
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1475 W 49TH PL
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3113
Country : US
Telephone Number : 305-284-7774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2025
Last Update Date : 06/25/2025

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Directions to “ RENATA PERUCHI CARVALHO MD” Practice Location

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