Individual
CARLOS JUAN CHIESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
#66 SANTA CRUZ ST., INSTITUTO SAN PABLO - SUITE 409, BAYAMON, PR 00960
(787) 787-5045
(787) 798-1690
Mailing address
URB. BUCARE, #29 AMATISTA ST., GUAYNABO, PR 00969
(787) 720-8113
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5761
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65711
CRUZ AZUL
PR
01
—
9-7286
TRIPLE S
PR
Enumeration date
06/16/2005
Last updated
09/13/2010
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