Provider Demographics
NPI:1811158207
Name:MUNOZ, CARLOS ALBERTO (MD)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:ALBERTO
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9655 S DIXIE HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2813
Mailing Address - Country:US
Mailing Address - Phone:305-740-0823
Mailing Address - Fax:305-740-0853
Practice Address - Street 1:6200 SW 73RD ST
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4679
Practice Address - Country:US
Practice Address - Phone:305-740-0823
Practice Address - Fax:305-740-0853
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NHEL13472207L00000X
MA258910207L00000X
NY277982207L00000X
FLME127376207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110100705AMedicaid
MAS400150086Medicare PIN