Luis Carrero
Dentist, General Practice in Riverview, FL. Individual provider (NPI-1).
NPI number1487765400
StatusActive
Last updated in NPPESJul 22, 2020
Details
- NPI
- 1487765400
- Entity type
- Individual (NPI-1)
- Name
- Luis Carrero
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Jul 22, 2020
- Last updated
- Jul 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN16948 | FL | Yes |
Practice location
11278 Sullivan StRiverview, FL 33578-2140
Phone 813-436-9813 · Fax 813-436-9817
Mailing address
11278 Sullivan StRiverview, FL 33578-2140
Phone 813-436-9813 · Fax 813-436-9817
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