Individual provider · NPI-1

Carlos Enrique Bueno, SA-C

Specialist/Technologist, Other, Surgical Assistant · Hialeah, FL

NPI number1629794441
StatusActive
Last updated in NPPESOct 13, 2022

Details

NPI
1629794441
Entity type
Individual (NPI-1)
Name
Carlos Enrique Bueno
Credential
SA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 13, 2022
Certification date
Oct 12, 2022
Last updated
Oct 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant22-563FLYes

Practice location

211 W 79th Pl Apt 101
Hialeah, FL 33014-4342

Phone 786-724-5430

Mailing address

211 W 79th Pl Apt 101
Hialeah, FL 33014-4342

Phone 786-724-5430

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