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Organization

CB INTERNAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARRIE BACO BROGNIEZ (PRESIDENT)
(787) 834-6865
Entity
Organization

Contact information

Practice address
16 CALLE PERAL N 1 A TORRE PERAL, MAYAGUEZ, PR 00681
(787) 834-6865
Mailing address
PO BOX 1478, MAYAGUEZ, PR 00681-1478
(787) 834-6865

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
207R00000X
Internal Medicine Physician
Primary
261QH0100X
Health Service Clinic/Center

Other

Enumeration date
08/28/2025
Last updated
08/28/2025
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