De Cardenas, Agustin

De Cardenas, Agustin is an sole proprietor health care provider with primary practice located at 2781 Sw 34Th Ct , Miami FL 33133-2719. He recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as his primary health care specialty. De Cardenas, Agustin can be contacted via phone (786) 525-9016.

Contact Information

Primary practice address
2781 Sw 34Th Ct Miami FL 33133-2719
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X MA57655 Florida

Profile Details

NPI number 1316484389
LBN Legal business name De Cardenas, Agustin
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2017
Last updated Feb 8th, 2023 - about 2 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 1316484389 NPPES
Florida MEDICAID 1316484389

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