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Individual
CARLOS JUAN CHIESA
Active
Individual
CARLOS JUAN CHIESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5761
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65711
CRUZ AZUL
PR
01
—
9-7286
TRIPLE S
PR
Enumeration date
06/16/2005
Last updated
09/13/2010
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