Healthcare Provider Details

I. General information

NPI: 1235766528
Provider Name (Legal Business Name): CAROLINA PUYANA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 ALHAMBRA CIR STE 211
CORAL GABLES FL
33134-5116
US

IV. Provider business mailing address

299 ALHAMBRA CIR STE 211
CORAL GABLES FL
33134-5116
US

V. Phone/Fax

Practice location:
  • Phone: 305-615-5504
  • Fax: 305-906-8212
Mailing address:
  • Phone: 305-615-5504
  • Fax: 305-906-8212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME179624
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberME179624
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: