Provider Demographics
NPI:1376591214
Name:CARRERAS, JUAN R (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:R
Last Name:CARRERAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:31-2 CALLE 31
Mailing Address - Street 2:URB. VILLA ASTURIAS
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-2961
Mailing Address - Country:US
Mailing Address - Phone:787-762-2703
Mailing Address - Fax:787-762-4520
Practice Address - Street 1:AVE. FRAGOSA 4AS(ALTOS)
Practice Address - Street 2:VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-762-8445
Practice Address - Fax:787-762-4520
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6130207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE31483Medicare UPIN