Provider Demographics
NPI:1588650204
Name:MOAS, CARLOS MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:MANUEL
Last Name:MOAS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:15680 N KENDALL DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1159
Mailing Address - Country:US
Mailing Address - Phone:305-436-9933
Mailing Address - Fax:305-436-9944
Practice Address - Street 1:3661 S MIAMI AVE
Practice Address - Street 2:SUITE 1008
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4236
Practice Address - Country:US
Practice Address - Phone:305-854-2284
Practice Address - Fax:305-851-7963
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2010-02-06
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Provider Licenses
StateLicense IDTaxonomies
FLME42965207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL049473900Medicaid
FL049473900Medicaid
FL03949ZMedicare PIN