Organization
RUBEN U. CARVAJAL MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN U. CARVAJAL MD (PRESIDENT)
(718) 733-2621
Entity
Organization
Contact information
Practice address
2271 GRAND AVE, BRONX, NY 10468-6905
(718) 733-2621
(718) 733-3839
Mailing address
2271 GRAND AVE, BRONX, NY 10468-6905
(718) 733-2621
(718) 733-3839
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
150807
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00812102
—
NY
Enumeration date
10/16/2010
Last updated
10/16/2010
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