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Individual

MRS. VERONICA CARRASQUILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
436 CALLE TABONUCO, VISTAS DE RIO GRANDE II, RIO GRANDE, PR 00745-9766
(787) 370-4520
(787) 888-0867
Mailing address
436 CALLE TABONUCO, VISTAS DE RIO GRANDE II, RIO GRANDE, PR 00745-9766
(787) 370-4520
(787) 888-0867

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1150
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57236
RPT-SSS COMPLEMENTARY
PR
01
9500973
CRUZ AZUL COMPLEMENTARY
PR
Enumeration date
12/12/2006
Last updated
07/09/2007
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