Maxine Carrasco-Caba

NPI 1932673316 · on the registry since 2019 · sole proprietor

Practice

Address: 1 Kennedy Ave Unit 1113
Danbury, CT 06810
Phone: (917) 259-9407
Organisation at this address: Mikab Empire Llc
Icon Health Corp
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Also registered as: 235Z00000X
390200000X
Licence states on file: CA, CT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut