Carreno, Octavio De Jesus

Carreno, Octavio De Jesus is an individual health care provider with primary practice located at 3100 Sw 62Nd Ave Ste 124, Miami FL 33155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Carreno, Octavio De Jesus can be contacted via phone (305) 662-8316.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Ste 124 Miami FL 33155
Phone: (305) 662-8316
Fax: (305) 663-8513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X ME78105 Florida

Profile Details

NPI number 1629039409
LBN Legal business name Carreno, Octavio De Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Sep 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629039409 NPPES
Maine MEDICAID 432628999

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