Provider Demographics
NPI:1043233463
Name:MEJIA-CARVAJAL, CARMEN RAFAELA (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:RAFAELA
Last Name:MEJIA-CARVAJAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1228 GOLDEN CANE DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2423
Mailing Address - Country:US
Mailing Address - Phone:954-716-9728
Mailing Address - Fax:954-213-6507
Practice Address - Street 1:5640 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4523
Practice Address - Country:US
Practice Address - Phone:954-657-8060
Practice Address - Fax:866-525-2237
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR137172080P0207X
IL036-1128702080P0207X
FLME116888208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology