Provider Demographics
NPI:1356667786
Name:PLANELL DOSAL, CARLOS FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:FRANCISCO
Last Name:PLANELL DOSAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 917
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-0917
Mailing Address - Country:US
Mailing Address - Phone:787-897-3752
Mailing Address - Fax:
Practice Address - Street 1:STREET 111 KM 23.6
Practice Address - Street 2:BO. LARES
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669-0917
Practice Address - Country:US
Practice Address - Phone:787-897-3752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR178691223G0001X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No1223G0001XDental ProvidersDentistGeneral Practice