| Organization Name: | GRUPO MEDICO CAROLINA, LLC |
| NPI Number: | 1093105256 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIOGENES O ADAMES (PROPRIETOR/MEDICAL DIRECTOR) |
| Mailing Address: | Blq 35 #21 Av. Sanchez Castano Villa Carolina Carolina |
| State: | PR US |
| Postal Code: | 009859998 |
| Phone Number: | 7877521979 |
| Fax Number: | 7879983656 |
| NPI Enumeration Date: | 01/27/2015 |
| NPI Last Update Date: | 01/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |