Doctor Name: | MR. CARLOS D AMY |
NPI Number: | 1417902685 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 15813 |
Business Practice Address: | 4 Calle Constitucion Santa Isabel, PR - 007572404 |
Business Phone Number: | 7872100638 |
Business Fax Number: | |
Mailing Address: | Po Box 5075, SAN GERMAN |
State: | PR |
Postal Code: | 006839809 |
Phone Number: | 7872100638 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |