IndividualActive
Carlos Conesa, MD
NPI 1366914111 · General Practice Physician · Muskogee, OK
Provider details
- NPI number
- 1366914111
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- LP04752 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1011 Honor Heights Dr
Muskogee, OK 74401-1318
Phone: (918) 577-3000
Approximate (ZIP-level) locationGet directions
Mailing address
825 Chalkstone Ave
Providence, RI 02908-4728
Additional practice locations (3)
- Southern Medical Plaza80 Calle 3 SurGuayama, PR 00784Phone: (787) 866-1212Fax: (787) 866-3322
- Southern Medical Plaza80 Calle 3 SurGuayama, PR 00784Phone: (787) 866-1212Fax: (787) 866-3322
- 825 Chalkstone AveProvidence, RI 02908Phone: (401) 456-2032Fax: (401) 456-6719
Registry dates
- Enumerated
- 2018-12-18
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.