Provider Demographics
NPI:1538656905
Name:BLAYA DREHER, CAROLINA (MD)
Entity Type:Individual
Prefix:MS
First Name:CAROLINA
Middle Name:
Last Name:BLAYA DREHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:CAROLINA
Other - Middle Name:
Other - Last Name:BLAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MSC, PHD
Mailing Address - Street 1:1611 NW 12 AVENUE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-903-2018
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12 AVENUE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-355-8264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-20
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program