Individual
JOHNATHAN ALEXANDER CARABALLO SOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
URB. INDUSTRIAL REPARADA 2 396 CALLE DR. LUIS F SALA, PONCE, PR 00716
(787) 812-2525
Mailing address
PO BOX 2066, COAMO, PR 00769-4066
(787) 901-1714
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22251
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/13/2018
Last updated
10/05/2023
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