Individual
DR. EDELMIRO A CARRILLO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CALLE JOSE C VAZQUEZ, AIBONITO, PR 00705
(787) 901-6802
Mailing address
PO BOX 1402, GUAYAMA, PR 00785
(787) 901-6802
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17449
PR
Other
Enumeration date
04/11/2008
Last updated
07/12/2019
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