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Individual

JUAN J CARRERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
621 SOUTH MAIN STREET, DUBOIS, PA 15801
(814) 371-0600
(814) 372-4764
Mailing address
3661 S MIAMI AVE, STE 907, MIAMI, FL 33133-4214
(814) 371-0600
(814) 372-4764

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD435438
PA
207RG0100X
Gastroenterology Physician
ME85054
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000423031
HIGHMARK
PA
01
0032560
CIGNA
FL
01
100017048
RAILROAD MEDICARE
FL
05
102241660
PA
01
143491
MEDICARE PTAN
PA
01
1616507
GATEWAY
PA
01
1669474318
TRICARE
FL
01
17483
BCBS
FL
01
17483X
MEDICARE PTAN
FL
01
2134161
UNITED HEALTHCARE
FL
01
2499134
GHI
FL
05
264308100
FL
01
285427
AVMED
FL
01
412687
UPMC
PA
01
7662289
AETNA
FL
01
P00710404
RAILROAD MEDICARE
FL
Enumeration date
08/12/2005
Last updated
11/05/2019
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