Individual
MR. RAFAEL J CARRILLO-CARAMBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 CALLE UN E, FAJARDO MEDICAL PLAZA SUITE 204, FAJARDO, PR 00738-4817
(787) 863-3450
(787) 860-5203
Mailing address
10 CALLE UNION W, FAJARDO MEDICAL PLAZA SUITE 204, FAJARDO, PR 00738-4706
(787) 863-3450
(787) 860-5203
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
8734
PR
Other
Enumeration date
11/14/2005
Last updated
01/30/2013
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