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Individual

DR. WALDEMAR CARRASQUILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
65TH INFANTRY AVE., 390, SAN JUAN, PR 00926-1806
(787) 765-8494
(787) 765-5552
Mailing address
PO BOX 363374, SAN JUAN, PR 00936-3374
(787) 765-8494
(787) 765-5552

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
263
PR

Other

Enumeration date
01/30/2007
Last updated
07/08/2007
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