| Doctor Name: | DR. REYCI CARRASCO |
| NPI Number: | 1396935540 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 12987 |
| Business Practice Address: | Urb. Estancias Calle Villa Caracas #b31 Bayamon, PR - 00961 |
| Business Phone Number: | 7878705374 |
| Business Fax Number: | |
| Mailing Address: | Pmb 166, Box 1345 TOA ALTA |
| State: | PR |
| Postal Code: | 009541345 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 07/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |