Doctor Name: | DR. ALEIDA Y. CARRASQUILLO- DAVILA |
NPI Number: | 1255548004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 13700 |
Business Practice Address: | 137 Calle 6 Bo. Torrecilla Alta Canovanas, PR - 007292209 |
Business Phone Number: | 7873676692 |
Business Fax Number: | |
Mailing Address: | Po Box 521, CANOVANAS |
State: | PR |
Postal Code: | 007290521 |
Phone Number: | 7873676692 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 06/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |