Individual
DR. SAMMY J CARABALLO BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
#730 CALLE JULIO ANDINO, SAN JUAN, PR 00924
(787) 673-3051
Mailing address
PO BOX 31017, SAN JUAN, PR 00929-2017
(787) 399-9123
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17157
PR
Other
Enumeration date
07/01/2008
Last updated
12/31/2015
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