Individual
DR. JEHNSEN CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 AVE PONCE DE LEON STOP 37.5, HATO REY, PR 00917-5032
(787) 758-2000
Mailing address
PO BOX 741, RIO GRANDE, PR 00745-0741
(787) 238-1867
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22964
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
05/18/2021
Last updated
08/16/2022
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