Organization
FAJARDO MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY CARRION OLMEDA MD (PHYSICIAN)
(330) 979-7218
Entity
Organization
Contact information
Practice address
57 CALLE ISABEL ANDREU E, FAJARDO, PR 00738-4806
(787) 663-6770
Mailing address
5A18 CALLE 5-2, URB. JARDINES DE MONTE BRISAS, FAJARDO, PR 00738-3115
(330) 979-7218
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
10/17/2022
Last updated
01/31/2024
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