Individual
JUAN CARRASQUILLO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 COND CHALETS DE LAS PALMAS, HUMACAO, PR 00791-6600
(787) 674-0007
Mailing address
101 CONDOMINIO CHALET DE LAS PALMAS, HUMACAO, PR 00791
(787) 674-0007
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1245
PR
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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