Individual
MISS CARMEN CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
535E-STREET, #864 REPARTO METROPOLITANO DEV.;, SAN JUAN, PR 00921
(770) 367-6263
Mailing address
PO BOX 10060, SAN JUAN, PR 00922-0060
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
004210
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004210
PHYSICIAN LICENSE
PR
Enumeration date
06/18/2013
Last updated
06/18/2013
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