Individual
KIOMARA HANCE CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR. 857 KM 0.4 BARRIO CANOVANILLAS, CAROLINA, PR 00987
(787) 776-3750
(787) 276-2923
Mailing address
PO BOX 264, CAROLINA, PR 00986-0264
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23362
PR
Other
Enumeration date
01/18/2021
Last updated
08/30/2023
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