Provider Demographics
NPI:1316029242
Name:CARRERO, MILTON D (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:D
Last Name:CARRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7377
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-7377
Mailing Address - Country:US
Mailing Address - Phone:787-833-9060
Mailing Address - Fax:787-833-9060
Practice Address - Street 1:55-N DR BASORA ST,
Practice Address - Street 2:EDIF. MEDICO IV, OFIC. 1-C
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-833-9060
Practice Address - Fax:787-833-9060
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7407207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR80832Medicare ID - Type UnspecifiedPROVIDER
PRE08570Medicare UPIN