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Contact Information

ENRIQUE GARBAYO OTANO, SA-C
6686 SW 103RD CT
MIAMI, FL33173-1314
 Phone: 786-451-4551
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
 

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for ENRIQUE GARBAYO OTANO · (Male)

NPI Number 1477040996
Status Active
Credentials SA-C
Entity Individual
Enumeration date 04/19/2018
Last updated 03/19/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # RN9650944
  • WI License # 15-268
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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