Individual
SOFIA MEDINA CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1738 CALLE AMARILLO SUMMIT BUILDING, 207B, SAN JUAN, PR 00926
(718) 630-7000
Mailing address
1738 CALLE AMARILLO SUMMIT BUILDING, BOX 16, SAN JUAN, PR 00926
(787) 472-4567
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3446
PR
Other
Enumeration date
03/20/2019
Last updated
12/12/2022
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