Provider Demographics
NPI:1003386129
Name:ARMAS, CARLOS ERNESTO
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:ERNESTO
Last Name:ARMAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 GRAND AVE APT E
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-4913
Mailing Address - Country:US
Mailing Address - Phone:619-779-1514
Mailing Address - Fax:
Practice Address - Street 1:860 GRAND AVE APT E
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-4913
Practice Address - Country:US
Practice Address - Phone:619-779-1514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-01
Last Update Date:2018-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician