Provider Demographics
NPI:1225349426
Name:MONGIL, CARLOS M (DVM, DIP ACVS)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:M
Last Name:MONGIL
Suffix:
Gender:M
Credentials:DVM, DIP ACVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOSQUE DE LOS FRAILES
Mailing Address - Street 2:9 FRAY INIGO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-708-4545
Mailing Address - Fax:787-708-4878
Practice Address - Street 1:1 CARR 873 # KM
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-8600
Practice Address - Country:US
Practice Address - Phone:787-708-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR204174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian