Individual
ARIEL CHACON BALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1687 CALLE AMARILLO APT 3102, COND. LOS CEDROS, SAN JUAN, PR 00926-3065
(787) 504-9848
Mailing address
1687 CALLE AMARILLO APT 3102, COND. LOS CEDROS, SAN JUAN, PR 00926-3065
(787) 504-9848
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16682
PR
208D00000X
General Practice Physician
16682
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27845560
—
FL
01
—
310079
AVMED
FL
01
—
96168
BC/BS
FL
Enumeration date
11/17/2006
Last updated
08/07/2008
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