Healthcare Provider Details

I. General information

NPI: 1811158207
Provider Name (Legal Business Name): CARLOS ALBERTO MUNOZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SW 73RD ST DEPARTMENT OF ANESTHESIA
SOUTH MIAMI FL
33143-4679
US

IV. Provider business mailing address

9655 S DIXIE HWY SUITE 201
MIAMI FL
33156-2813
US

V. Phone/Fax

Practice location:
  • Phone: 305-740-0823
  • Fax: 305-740-0853
Mailing address:
  • Phone: 305-740-0823
  • Fax: 305-740-0853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberEL13472
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number258910
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number277982
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME127376
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: