Provider Demographics
NPI:1417947185
Name:GIROD, CARLOS E SR (MD)
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:E
Last Name:GIROD
Suffix:SR
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 13617
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-3617
Mailing Address - Country:US
Mailing Address - Phone:787-398-0744
Mailing Address - Fax:787-724-1520
Practice Address - Street 1:29 WASHINGTON ST
Practice Address - Street 2:ASHFORD MEDICAL CENTER 209B
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1509
Practice Address - Country:US
Practice Address - Phone:787-724-9356
Practice Address - Fax:787-724-1520
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR02421207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR921441106OtherTRIPLE S PLAN
PR92144GIOtherTRIPLE S PLAN
C83601Medicare UPIN
PR0092144Medicare ID - Type Unspecified