Individual
DR. CARLOS RAFAEL GARRIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2345
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-1088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01075331A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2012
Last updated
06/25/2015
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