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General NPI Number Information
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NPI Number | 1780816504
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Entity Type | Individual
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Provider Name | CARLOS D. CARRANZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 11/09/2015
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Provider Practice Location Address
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Address Line | 2500SW107TH AVE 46-47
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City | MIAMI
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State | FL
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Zip | 33165-2470
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Country | US
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Telephone | 305-485-1532
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Fax | 305-485-1534
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Provider Business Mailing Address
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Address Line | PO BOX 440724
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City | MIAMI
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State | FL
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Zip | 33144-0724
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Country | US
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Telephone | 786-553-4643
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME 23298
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License Number State | FL
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