Organization
OCG DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSWARD Y CARRASQUILLO MD, MPH (DERMATOLOGIST)
(939) 940-1208
Entity
Organization
Contact information
Practice address
107 CALLE HIJA DEL CARIBE, SAN JUAN, PR 00918-3204
(939) 940-1208
Mailing address
PO BOX 7804, CAGUAS, PR 00726-7804
(939) 940-1208
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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