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Individual

DR. LUIS DANIEL CARCORZE SOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
EDIF LA PALMA, ESQ DE DIEGO SUITE 1C, MAYAGUEZ, PR 00680-4861
(787) 986-7325
Mailing address
URB EUGENIO MARIA DE HOSTOS, 2 AVE LOS MAESTROS, MAYAGUEZ, PR 00682
(787) 951-7074

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18625
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18625
LICENCIA MEDICO PUERTO RICO
PR
Enumeration date
09/02/2009
Last updated
03/07/2023
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