Provider Demographics
NPI:1598985251
Name:PADRON CARMONA, JOSE D (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:D
Last Name:PADRON CARMONA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:917 AVE TITO CASTRO
Mailing Address - Street 2:TORRE MEDICA SAN LUCAS SUITE 613
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4722
Mailing Address - Country:US
Mailing Address - Phone:787-651-1426
Mailing Address - Fax:787-913-0104
Practice Address - Street 1:917 AVE TITO CASTRO
Practice Address - Street 2:TORRE MEDICA SAN LUCAS SUITE 613
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4722
Practice Address - Country:US
Practice Address - Phone:787-651-1426
Practice Address - Fax:787-913-0104
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2023-06-22
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Provider Licenses
StateLicense IDTaxonomies
PR16453207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine