Juan Pablo Divo Carrera, SA-C
Juan Pablo Divo Carrera, SA-C is a Surgical Physician Assistant in Miami, Florida. Practices as a sole proprietor. Licensed in Florida and Puerto Rico.
- Licensed in
- FL, PR
- In the registry since
- 2025
- Specialties on file
- 3
Practice location Address checks out
820 NW 7th Ave Apt 208Miami, FL 33136-3130
Phone: (954) 864-7509
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Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X · Licence 20-514 (FL) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 2877 (PR) |
| Physician Assistant | Taxonomy 363A00000X · Licence 2877 (PR) |
Record details
| NPI number | 1639034630 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SA-C |
| Sole proprietor | Yes |
| NPI enumerated | December 22, 2025 |
| Last updated in NPPES | December 22, 2025 |
| Certification date | December 22, 2025 |
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