Individual
NICOLE M CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
CARR 172 KM 6.0, BO. CANABONCITO, CAGUAS, PR 00727
(787) 945-9387
Mailing address
PO BOX 1600, CIDRA, PR 00739-1600
(787) 945-9387
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
691
PR
Other
Enumeration date
10/09/2019
Last updated
02/05/2020
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