Doctor Name: | DR. ROSAMAR CARABALLO LOPEZ |
NPI Number: | 1538329164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 17152 |
Business Practice Address: | 228 Ave B Santa Isidra Fajardo, PR - 007384987 |
Business Phone Number: | 7878602231 |
Business Fax Number: | |
Mailing Address: | 228 Ave B, Santa Isidra FAJARDO |
State: | PR |
Postal Code: | 007384987 |
Phone Number: | 7878602231 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2008 |
NPI Last Update Date: | 08/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |