Provider Demographics
NPI:1538341151
Name:CARLOS R. DANGER, M.D. P.A.
Entity type:Organization
Organization Name:CARLOS R. DANGER, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:R
Authorized Official - Last Name:DANGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-854-9023
Mailing Address - Street 1:3661 SOUTH MIAMI AVENUE
Mailing Address - Street 2:SUITE 606
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133
Mailing Address - Country:US
Mailing Address - Phone:305-854-9023
Mailing Address - Fax:305-854-9026
Practice Address - Street 1:3661 SOUTH MIAMI AVENUE
Practice Address - Street 2:SUITE 606
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133
Practice Address - Country:US
Practice Address - Phone:305-854-9023
Practice Address - Fax:305-854-9026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME907752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7229AMedicare PIN