Organization
DE SOTO INTERNAL MEDICINE SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO R CARBALLO DURAN M.D. (PROVIDER)
(787) 518-0104
Entity
Organization
Contact information
Practice address
CALLE FLOR GERENA 13, HUMACAO, PR 00791
(787) 518-0104
Mailing address
185 CANDELERO DR APT 608, FAIRLAKES VILLAGE, HUMACAO, PR 00791-6133
(787) 518-0104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8260
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212353
PREFERRED HEALTH
PR
01
—
4069
UHC
PR
01
—
84851DE
TRIPLE S
PR
01
—
P070
FIRST MEDICAL
PR
Enumeration date
03/08/2006
Last updated
12/02/2010
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