Provider Demographics
NPI:1013726496
Name:AYRES NETTO, CARLOS EDUARDO (RDMS)
Entity type:Individual
Prefix:
First Name:CARLOS EDUARDO
Middle Name:
Last Name:AYRES NETTO
Suffix:
Gender:M
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20725 SW 184TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-1517
Mailing Address - Country:US
Mailing Address - Phone:305-965-0882
Mailing Address - Fax:305-937-2622
Practice Address - Street 1:2627 NE 203RD ST STE 101
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1945
Practice Address - Country:US
Practice Address - Phone:305-935-2542
Practice Address - Fax:305-937-2622
Is Sole Proprietor?:No
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL2857942471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography