Individual
JESSICA M CARRASQUILLO MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
11 CALLE FLORIDIANO APT 1109, CHALETS DE LA FUENTE, CAROLINA, PR 00987-7681
(787) 406-6903
Mailing address
11 CALLE FLORIDIANO APT 1109, CHALETS DE LA FUENTE, CAROLINA, PR 00987-7681
(787) 406-6903
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18635
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2010
Last updated
07/27/2014
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