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NPI Code Detail

MEDICARE: DR. CARLOS ESTEBAN MOREYRA MD

MEDICARE:  DR. CARLOS ESTEBAN MOREYRA  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
1207X00000XOrthopaedic Surgery PhysicianME86462FL
2207X00000XOrthopaedic Surgery PhysicianDR.0070017CO
3207XX0801XOrthopaedic Trauma PhysicianME86462FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790854594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS ESTEBAN MOREYRA MD
Provider Business Mailing Address
First Line : 4250 HOSPITAL DR
Second Line :
City : MARIANNA
State : FL
Zip : 32446-1917
Country : US
Telephone Number : 850-482-0017
Fax Number : 850-633-5910
Provider Business Practice Location Address
First Line : 4295 3RD AVE
Second Line :
City : MARIANNA
State : FL
Zip : 32446-2120
Country : US
Telephone Number : 850-482-0017
Fax Number : 508-633-5910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 03/25/2026

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Directions to “ DR. CARLOS ESTEBAN MOREYRA MD” Practice Location

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