Individual
CARLOS REMEDIOS-CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EDIF PARRAS # 203, PONCE, PR 00717-1321
(787) 813-4401
(787) 813-4403
Mailing address
PMB 140 APARTADO 2000, MERCEDITA, PR 00715
(787) 813-4401
(787) 813-4403
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
10236
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069447
ID PROVIDER CRUZ AZUL
PR
01
—
2483
ID PROVIDER PREFERRED
PR
01
—
3600009
ID PROVIDER HUMANA
PR
01
—
4160-5
ID PROVIDER PROSAM
PR
01
—
600705
ID PROVIDER MMM
PR
01
—
82550
ID PROVIDER TRIPLE S
PR
Enumeration date
11/17/2006
Last updated
01/13/2011
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