Most Relevant Information
Provider Data
| NPI Number: | 1003235953 |
| Provider Name: | MARIANELA CARVAJAL APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11003189 |
Most Important Dates
| Enumeration Date: | 04/08/2014 |
| Last Updated: | 08/06/2019 |
Provider Practice Location
1120 NW 14TH ST STE 969
MIAMI
FL
331362107
Practice Location Phone/Fax
| Phone: | 3052436405 |
| Fax: |
Provider Mailing Location
1120 NW 14TH ST # 969
MIAMI
FL
331362107
Provider Mailing Phone/Fax
| Phone: | 3058073511 |
| Fax: | 3052436405 |