Provider Demographics
NPI:1396919635
Name:CARVALHO, CRISTIANE OSHIRO MOCELIN (MD)
Entity type:Individual
Prefix:DR
First Name:CRISTIANE
Middle Name:OSHIRO MOCELIN
Last Name:CARVALHO
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 1:7900 SW 57TH AVE
Mailing Address - Street 2:SUITE 21
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5522
Mailing Address - Country:US
Mailing Address - Phone:305-662-3984
Mailing Address - Fax:
Practice Address - Street 1:7900 SW 57TH AVE
Practice Address - Street 2:SUITE 21
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5522
Practice Address - Country:US
Practice Address - Phone:305-662-3984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 112900207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology