Individual
JESUS E CARALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1112 CARSON AVE, LA JUNTA, CO 81050-2728
(719) 383-6480
(719) 383-6412
Mailing address
1112 CARSON AVE, LA JUNTA, CO 81050-2728
(719) 383-6430
(719) 383-6412
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
39740
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07370342
—
CO
01
—
CAA54671
BLUE CROSS
CO
01
—
P00175695
RAILROAD MEDICARE
CO
Enumeration date
07/14/2006
Last updated
10/28/2025
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