Provider Demographics
NPI:1407046253
Name:UGARTE, CAROLINA M (PAC)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:M
Last Name:UGARTE
Suffix:
Gender:
Credentials:PAC
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Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:151 NW 11TH ST STE E102
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4350
Practice Address - Country:US
Practice Address - Phone:305-248-4877
Practice Address - Fax:844-685-8584
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2025-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9104142363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant