Individual
MR. LUISARDO CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER,MSW
Contact information
Practice address
POPC1010PASEO DEL VETERANO, PONCE, PR 00716-2001
(787) 812-3030
(787) 651-4306
Mailing address
URB. REXMANOR ST 7 F-13, GUAYAMA, PR 00785
(787) 812-3030
(787) 651-4306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
#6245
PR
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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