CARLOS ENRIQUE BALLESTAS

SUNRISE, FL
NPI1609812437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME110974)
Additional Taxonomies207Q00000X Family Medicine
(Licence: TX  M2549)
Enumeration Date2006-06-21
Last Update Date2022-02-10
Business Address
Dr. CARLOS ENRIQUE BALLESTAS MD
12651 W SUNRISE BLVD STE 202
SUNRISE, FL 33323-0906
Phone number: 954-838-8801
Mailing Address
Dr. CARLOS ENRIQUE BALLESTAS MD
12651 W SUNRISE BLVD STE 202
SUNRISE, FL 33323-0906
Phone number: 954-838-8801