| Mr Rafael J Carrillo-carambot, MD | |
|
10 Calle Un E, Fajardo Medical Plaza Suite 204, Fajardo, PR 00738-4817 | |
| (787) 863-3450 | |
| (787) 860-5203 |
| Full Name | Mr Rafael J Carrillo-carambot |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 10 Calle Un E, Fajardo, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700868031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 8734 (Puerto Rico) | Primary |
| Entity Name | Recinto De Ciencias Medicas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952480956 PECOS PAC ID: 3678469962 Enrollment ID: O20050228000367 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rafael J Carrillo-carambot, MD 10 Calle Union W, Fajardo Medical Plaza Suite 204, Fajardo, PR 00738-4706 Ph: (787) 863-3450 | Mr Rafael J Carrillo-carambot, MD 10 Calle Un E, Fajardo Medical Plaza Suite 204, Fajardo, PR 00738-4817 Ph: (787) 863-3450 |
Leonel Enrique Guerrero Rodriguez, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: Torre San Pablo Del Este, Suite 401, Ave. General Valero # 410, Fajardo, PR 00738 Phone: 787-655-0505 Fax: 787-863-1212 | |
Dr. Carlos Luis Rodriguez, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: Union # 10 Esq. Celis Aguilera, Fajardo Medical Plaza Ofic. 104, Fajardo, PR 00738 Phone: 787-863-2236 Fax: 787-863-2236 |