Provider Demographics
NPI:1639807142
Name:OJEDA, CARLOS TOMAS
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:TOMAS
Last Name:OJEDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URBANIZACION VILLA NUEVA T25 CALLE 22
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-6951
Mailing Address - Country:US
Mailing Address - Phone:786-239-0050
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION VILLA NUEVA T25 CALLE 22
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-6951
Practice Address - Country:US
Practice Address - Phone:786-239-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program