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NPI Code Detail

MEDICARE: CARMEN L DELCUETO MD

MEDICARE:   CARMEN L DELCUETO  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
1173000000XLegal MedicineME28417FL

General Provider Information

NPI Number : 1275521924
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN L DELCUETO MD
Provider Business Mailing Address
First Line : 2629 SW 147TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33185-5622
Country : US
Telephone Number : 305-487-6196
Fax Number : 305-487-6198
Provider Business Practice Location Address
First Line : 2629 SW 147TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33185-5622
Country : US
Telephone Number : 305-487-6196
Fax Number : 305-487-6198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 06/13/2008

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Directions to “ CARMEN L DELCUETO MD” Practice Location

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