Individual
DR. JOSE H CARRASQUILLO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
607 DR LOYOLAS STREET, PENUELAS, PR 00624
(787) 836-1625
(787) 836-1769
Mailing address
PO BOX 489, PENUELAS, PR 00624
(787) 836-1625
(787) 836-1769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0955
PR
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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