Provider Demographics
NPI:1063650992
Name:DURAN, CAROLINA
Entity Type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:DURAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9080 SW 125TH AVE
Mailing Address - Street 2:APT B204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7124
Mailing Address - Country:US
Mailing Address - Phone:786-223-5316
Mailing Address - Fax:
Practice Address - Street 1:9080 SW 125TH AVE
Practice Address - Street 2:APT B204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7124
Practice Address - Country:US
Practice Address - Phone:786-223-5316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care