Individual
KAIRA CARRASQUILLO CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CARRETERA 857 KM 9.2 BO CARRUZO, CAROLINA, PR 00729
(787) 231-1220
Mailing address
PO BOX 20000, PMB 351, CANOVANAS, PR 00729
(787) 750-8241
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18272
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38378000
—
PR
Enumeration date
07/27/2010
Last updated
07/06/2023
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