Antigua, Maria Carmen

Antigua, Maria Carmen is an individual health care provider with primary practice located at 1613 N. Harrison Parkway , Sunrise FL 33323. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Antigua, Maria Carmen can be contacted via phone (954) 514-4670.

Contact Information

Primary practice address
1613 N. Harrison Parkway Sunrise FL 33323
Phone: (954) 514-4670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME49755 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME49755 Florida

Profile Details

NPI number 1912983123
LBN Legal business name Antigua, Maria Carmen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Dec 3rd, 2013 - about 11 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 1912983123 NPPES
Florida MEDICAID 062775500

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