| Doctor Name: | DR. CARLOS BRUNO GAYLES |
| NPI Number: | 1114239373 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301026189 |
| Business Practice Address: | 9301 Middlebelt Rd Romulus, MI - 481742532 |
| Business Phone Number: | 7349411000 |
| Business Fax Number: | 7349419836 |
| Mailing Address: | 381 Shagbark Dr, ROCHESTER HILLS |
| State: | MI |
| Postal Code: | 483091820 |
| Phone Number: | 2486510570 |
| Fax Number: | 2486514205 |
| NPI Enumeration Date: | 07/04/2010 |
| NPI Last Update Date: | 04/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301026189 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |