| Doctor Name: | DR. HAIDY CARRASQUILLO RODRIGUEZ |
| NPI Number: | 1639119340 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 13306 |
| Business Practice Address: | Urb. Venus Gardens Calle Andromeda 730 Rio Piedras, PR - 00924 |
| Business Phone Number: | 7876369288 |
| Business Fax Number: | |
| Mailing Address: | Hacienda San Jose, 1011 Almazigos CAGUAS |
| State: | PR |
| Postal Code: | 007273122 |
| Phone Number: | 7876369288 |
| Fax Number: | 7877437805 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 12/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |