Individual provider · Type 1 NPI

Carlos David Matos Tirado

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1114770278 Active

Practice location

111 East 210 Street
Bronx, NY 10467

Call (718) 920-4321 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114770278

Carlos David Matos Tirado's National Provider Identifier is 1114770278, issued on Apr 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Apr 9, 2024.