Individual
EMMANUELLE JOSE CARABALLO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.SC.
Contact information
Practice address
G18C CALLE 6, PONCE, PR 00730-1405
(787) 366-8384
Mailing address
G18C CALLE 6, PONCE, PR 00730-1405
(787) 366-8384
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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