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Individual

DR. LUIS CARRASQUILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
89 CAROLINA CT, CAROLINA, PR 00982-3500
(787) 757-0548
(787) 760-0574
Mailing address
CALLE 220 4Q42 COLINAS DE FAIR VIEW, SAN JUAN, PR 00976
(787) 760-0574
(787) 760-0574

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1130
PR

Other

Enumeration date
02/07/2006
Last updated
07/08/2007
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