Provider Demographics
NPI:1033866728
Name:OJEDA, CARLOS HUMBERTO
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:HUMBERTO
Last Name:OJEDA
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:URBANIZACION VILLA NUEVA
Mailing Address - Street 2:T25 CALLE 22
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-6951
Mailing Address - Country:US
Mailing Address - Phone:786-863-5142
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION VILLA NUEVA
Practice Address - Street 2:T25 CALLE 22
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-6951
Practice Address - Country:US
Practice Address - Phone:786-863-5142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program