IndividualActive
Gregory Carvajal, PTA
NPI 1306404843 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Miami Gardens, FL
Provider details
- NPI number
- 1306404843
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA12304 (FL)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense PTA12304 (FL)
Allopathic & Osteopathic Physicians
Practice location
3425 Nw 180th St
Miami Gardens, FL 33056-3429
Phone: (786) 663-3936
Approximate (ZIP-level) locationGet directions
Mailing address
3425 Nw 180th St
Miami Gardens, FL 33056-3429
Registry dates
- Enumerated
- 2019-05-30
- Last updated
- 2019-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.