Individual
JUAN CARLOS CARBALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
413 CALLE REINA ISABEL, GUAYNABO, PR 00969-3342
(787) 485-0974
Mailing address
413 CALLE REINA ISABEL, GUAYNABO, PR 00969-3342
(787) 485-0974
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
33195
PR
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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