| Doctor Name: | DR. CARLOS ESTEBAN MOREYRA |
| NPI Number: | 1790854594 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101058025 |
| Business Practice Address: | 12596 Pines Blvd Pembroke Pines, FL - 330271766 |
| Business Phone Number: | 9546202254 |
| Business Fax Number: | 9546202266 |
| Mailing Address: | 12596 Pines Blvd, PEMBROKE PINES |
| State: | FL |
| Postal Code: | 330271766 |
| Phone Number: | 9546202254 |
| Fax Number: | 9546202266 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 12/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101058025 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |