Individual
DR. CARLOS R CARRETERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
414 NAVARRO ST, STE 703, SAN ANTONIO, TX 78205-2515
(210) 224-4811
(210) 224-1573
Mailing address
PO BOX 781165, SAN ANTONIO, TX 78278-1165
(210) 224-4811
(210) 224-1573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14599
PR
207R00000X
Internal Medicine Physician
P7616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780241737
GROUP NPI
TX
01
—
1851434435
NPI: 1851434435
PR
Enumeration date
02/14/2007
Last updated
09/10/2019
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