Individual
DR. JORGE CARBALLIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR #19 GARDEN HILL PLAZA 1353, PMB 228, GUAYNABO, PR 00966
(787) 793-5874
Mailing address
CARR #19 GARDEN HILL PLAZA 1353, PMB 228, GUAYNABO, PR 00966
(787) 793-5874
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12939
PR
363AS0400X
Surgical Physician Assistant
12939
PR
Other
Enumeration date
06/26/2006
Last updated
02/04/2010
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