Carlos Alberto Villagrasa Mendez
Student in an Organized Health Care Education/Training Program in Miami, FL. Individual provider (NPI-1).
NPI number1801546643
StatusActive
Last updated in NPPESMar 23, 2025
Details
- NPI
- 1801546643
- Entity type
- Individual (NPI-1)
- Name
- Carlos Alberto Villagrasa Mendez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2022
- Certification date
- Mar 23, 2025
- Last updated
- Mar 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
11750 Sw 40th StMiami, FL 33175-3530
Phone 305-222-5253
Mailing address
11750 Sw 40th StMiami, FL 33175-3530
Phone 305-222-5253
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