CARLOS HUMBERTO JAEN

MIAMI, FL
NPI1417574450
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9112833)
Additional Taxonomies207K00000X Allergy & Immunology
(Licence: FL  PA9112833)
207KA0200X Allergy & Immunology, Allergy
(Licence: FL  PA9112833)
Enumeration Date2020-06-25
Last Update Date2024-07-02
Business Address
CARLOS HUMBERTO JAEN PA
2000 SW 27TH AVE # 301
MIAMI, FL 33145-2546
Phone number: 305-461-2010
Mailing Address
CARLOS HUMBERTO JAEN PA
1685 SW 17TH TER
MIAMI, FL 33145-2809
Phone number: 305-742-9121