Individual
DR. JOSE ANTONIO CARRASQUILLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1716 SANTA CATALINA, SANTIAGO IGLESIA, SAN JUAN, PR 00921
(787) 417-2093
Mailing address
PO BOX 2216, GUAYNABO, PR 00970-2216
(787) 417-2093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9103
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83082CA
TRIPLE S
PR
Enumeration date
03/08/2006
Last updated
07/09/2007
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