Provider Demographics
NPI:1740573617
Name:LAYNEZ CARNICERO, ANA (MD)
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:
Last Name:LAYNEZ CARNICERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 IRVING ST NW STE 4B-1
Mailing Address - Street 2:DEPT OF INTERVENTIONAL CARDIOLOGY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3017
Mailing Address - Country:US
Mailing Address - Phone:207-877-2988
Mailing Address - Fax:207-877-2715
Practice Address - Street 1:110 IRVING ST NW STE 4B-1
Practice Address - Street 2:DEPT OF INTERVENTIONAL CARDIOLOGY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:207-877-2988
Practice Address - Fax:207-877-2715
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program