Provider Demographics
NPI:1386816965
Name:DE LA HOZ, CARLOS AUGUSTO (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:AUGUSTO
Last Name:DE LA HOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 NW 97TH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1407
Mailing Address - Country:US
Mailing Address - Phone:786-264-2999
Mailing Address - Fax:
Practice Address - Street 1:2510 NW 97TH AVE STE 110
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1407
Practice Address - Country:US
Practice Address - Phone:786-264-2999
Practice Address - Fax:786-391-0494
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2847207L00000X
FLME119664207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology