Individual
DR. CARLOS M PORTOCARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 CALLE SAN JORGE, SAN JUAN, PR 00911-2054
(787) 723-1234
(787) 289-5544
Mailing address
169 CALLE SAN JORGE, SAN JUAN, PR 00911-2054
(787) 723-1234
(787) 289-5544
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
7614
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
PR
01
—
80394
TRIPLE S
PR
Enumeration date
02/23/2007
Last updated
05/21/2020
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