| Doctor Name: | DR. CARLOS FERNANDEZ-MAYMI |
| NPI Number: | 1346226644 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 6839 |
| Business Practice Address: | 245 S 2nd St Carson City, MI - 488119650 |
| Business Phone Number: | 9895843981 |
| Business Fax Number: | 9895840231 |
| Mailing Address: | 406 E Elm St, CARSON CITY |
| State: | MI |
| Postal Code: | 488119693 |
| Phone Number: | 9895843971 |
| Fax Number: | 9895846734 |
| NPI Enumeration Date: | 12/19/2005 |
| NPI Last Update Date: | 03/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 6839 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |