Organization
IJAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANTONIO CARRERO SOTO MD (MD)
(787) 895-3684
Entity
Organization
Contact information
Practice address
6 CALLE SOCORRO, QUEBRADILLAS, PR 00678
(787) 895-3684
Mailing address
B2 CALLE 1, VISTAS DE CAMUY, CAMUY, PR 00627-2904
(787) 895-3684
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13155
PR
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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