DR. JOSE RAFAEL CARLO-IZQUIERDO (NPI# 1710023668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710023668 |
Entity Type | Individual |
Full Name | DR. JOSE RAFAEL CARLO-IZQUIERDO |
Credential | M.D. |
Practice Address |
Ppmi-rcm Ave. Americo Miranda Aptdo. 19134 Centro Medico De Pr Edif Principal Escuela De Medicina San Juan PR 00929 |
Mailing Address |
Urb. San Francisco 1712 Lilas St. San Juan PR 00927 |
Practice Telephone | 7877582525 |
Practice Fax Number | 7877540474 |
Mailing Telephone | 7877644474 |
Mailing Fax Number | 7877540474 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
7092 | PR | Allopathic & Osteopathic Physicians |
X | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
7092 | PR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PR | STATE LICENSE | 7092 | 01 |
Street Address |
PPMI-RCM AVE. AMERICO MIRANDA APTDO. 19134 CENTRO MEDICO DE PR EDIF PRINCIPAL ESCUELA DE MEDICINA |
City | SAN JUAN |
State | PR |
Zip Code | 00929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396206686 | Idelvais M Pinero Melendez Obstetrics & Gynecology Psc | Obstetrics & Gynecology | 1051 3 Se St La Riviera, Medical Center Plaza 8, San Juan, PR 00929 | 2019-03-28 |
1437633922 | Medical Ultrasound and Research Group, Corp | Internal Medicine | Urb Villa Prades, 708 Calle Julio Andino, San Juan, PR 00929 | 2018-09-20 |
1669839528 | Lizbeth M Ortega Ortega | Clinic/Center | 260 Calle 54 Se, Urb La Riviera, San Juan, PR 00929 | 2016-01-24 |
1720478555 | Dsi Labs,inc | Clinical Medical Laboratory | 409 Ave De Diego Puerto Nuevo, Rio Piedras, PR 00929 | 2015-02-02 |
1245591981 | C&j Medical Group | Physical Therapist | 800 Calle Sagrado Corazon, Esq. Los Angeles Pda 26.5, Santurce, PR 00929 | 2012-05-30 |
1992981005 | Hhm Radiology | Interpreter | 65 Th Avenue Marginal # 8, Rio Piedras, San Juan, PR 00929 | 2008-01-18 |
1881735520 | Metro Pharmacy, Inc. | Pharmacy | Ave De Diego 371, San Juan, PR 00929 | 2007-02-08 |
1841273224 | Complejo Medico Social Home Care | Home Health | Ave. 65th Infanteria Bo. Sabana Llana, San Juan, PR 00929 | 2005-11-21 |
1023099793 | San Juan Aging Center | Nursing Facility/Intermediate Care Facility | Ave. 65 Infantery Bo. Sabana Llana, San Juan, PR 00929 | 2005-11-09 |
1841271418 | San Juan Aging | Rehabilitation Unit | Ave. 65th Infantery Bo. Sabana Llana, San Juan, PR 00929 | 2005-11-09 |
Find all providers in zip 00929 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457738932 | Yahaira Altagracia Franco | Psychiatry & Neurology | 1190 Calle 46 Se, San Juan, PR 00921-2626 | 2015-05-04 |
1598166233 | Ernesto Borrero | Psychiatry & Neurology | University Distric Hospital Puerto Rico Medical Center, Bo. Monacillos, San Juan, PR 00935-0001 | 2014-09-12 |
1851596738 | Desiree Casasnovas - Lopez | Psychiatry & Neurology | 361 Calle Galileo Apt 2m, Jardines Metropolitanos II, San Juan, PR 00927-4511 | 2007-06-19 |
1679776348 | Ricardo Nelson Alvarado-melendez | Psychiatry & Neurology | 840 Carr 877 Apt 312, Bosque Real, San Juan, PR 00926-8237 | 2007-06-08 |
1730382573 | Edgardo Colon-zavala | Psychiatry & Neurology | 715 Ave Ponce De Leon Pda 37, Hospital Auxilio Mutuo Centro Neurodiagnostico, San Juan, PR 00918 | 2007-06-08 |
1801013610 | Wellness & Life Medical Center, Inc. | Psychiatry & Neurology | Urb. Santiago Iglesias, 1753 Ave. Paz Granela, San Juan, PR 00921 | 2007-04-20 |
1053455014 | Neuro Gi Wellness Centre Psc | Psychiatry & Neurology | 200 Ave Winston Churchill Ste 201, San Juan, PR 00926-6655 | 2007-02-16 |
1619032356 | Juan A Moreira | Psychiatry & Neurology | Primer Piso, Hospital Del Maestro, Sergio Bustamante 550, San Juan, PR 00918 | 2006-12-22 |
1811071160 | Damaris Torres-berrios | Psychiatry & Neurology | 255 Ave Domenech, San Juan, PR 00918-3510 | 2006-10-24 |
1376636480 | Zaida Boria | Psychiatry & Neurology | Rr 36 Box 1362, San Juan, San Juan, PR 00926-9704 | 2006-10-02 |
Find all providers in SAN JUAN |
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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.