MEDICARE: CELIA CARRERAS HUERGO

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
1	171M00000X	Case Manager/Care Coordinator	CBHCM.0107285	FL

General Provider Information

NPI Number	:	1992648505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELIA CARRERAS HUERGO

Provider Business Mailing Address
First Line	:	5201 SW 88TH TER
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33328-5106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5201 SW 88TH TER
Second Line	:
City	:	COOPER CITY
State	:	FL
Zip	:	33328-5106
Country	:	US
Telephone Number	:	786-315-6283
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “ CELIA CARRERAS HUERGO ” Practice Location

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