Individual
CARLOS M HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 CALLE BALDORIOTY, MOROVIS, PR 00687-3111
(787) 862-3939
(787) 862-3939
Mailing address
PO BOX 1982, MOROVIS, PR 00687-1982
(787) 862-3939
(787) 862-3939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14360
PR
Other
Enumeration date
05/30/2006
Last updated
03/19/2008
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