DR. SIMON E. CARLO (NPI# 1023139896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023139896 |
Entity Type | Individual |
Full Name | DR. SIMON E. CARLO |
Credential | MD |
Practice Address |
252 San Jorge St. Suite 408 Santurce PR 00912 |
Mailing Address |
Po Box 911 Cabo Rojo PR 00623-0911 |
Practice Telephone | 7877288316 |
Practice Fax Number | 7877288316 |
Mailing Telephone | 7876353680 |
Mailing Fax Number | 7877288316 |
Enumeration Date | 2007-04-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
12584 | PR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548350564 | Simon Enrique Carlo | General Practice | Valle Hermoso Shopping Center, Loc. #8, Hormigueros, PR 00660 | 2006-10-13 |
Street Address |
252 SAN JORGE ST. SUITE 408 |
City | SANTURCE |
State | PR |
Zip Code | 00912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548860869 | Lismary Colon Matias | Speech-Language Pathologist | Avenida Ponce De Leon #1607, Cobian's Plaza Building, San Juan, PR 00912 | 2020-10-27 |
1972126258 | Neuropedeegpr LLC | Physiological Laboratory | Calle San Jorge #258 San Jorge Medical Building Suite 3, Santurce, PR 00912 | 2020-05-21 |
1801415047 | Racc | Surgery | #373 Calle San Jorge, Piso#2, Santurce, PR 00912 | 2020-04-08 |
1588299333 | Yanelis Perez Pina | Registered Nurse | 1600 Ave De La Constitucion, San Juan, PR 00912 | 2020-03-11 |
1558919233 | Aura Colon Rivera | Psychologist | Calle San Jorge, 258, San Juan, PR 00912 | 2019-08-27 |
1467923276 | Zuleika Montanez | Registered Nurse | 1600 Avenida Juan Ponce De Leon, San Juan, PR 00912 | 2018-12-06 |
1528584232 | Indhira M Rivas | Psychologist | 1551 Calle Victoria Santurce, San Juan, PR 00912 | 2017-08-15 |
1881146728 | Sebastian Cambo | Psychologist | 1801 Ave Ponce De Leon Suite 411, Santurce Medical Mall, San Juan, PR 00912 | 2016-10-26 |
1528430816 | Abner Martinez | Pharmacist | Calle Labra Esquina Corchado Parada 18, San Juan, PR 00912 | 2015-10-26 |
1609282300 | Mariola Llinas Messeguer | Obstetrics & Gynecology | 252 San Jorge Medical Building, Suite 405, Santurce, PR 00912 | 2014-07-02 |
Find all providers in zip 00912 |
Taxonomy Code | 207SG0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Molecular Genetics |
A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.