Individual
MR. ALEXANDER CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE 28 T 17, VILLA UNIVERSITARIA, HUMACAO, PR 00791
(787) 929-9736
Mailing address
PO BOX 10027, SAN JUAN, PR 00908-1027
(787) 929-9736
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
657
PR
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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