Provider Demographics
NPI:1629227632
Name:CARRERAS HERNANDEZ, JOSELY A (M D)
Entity Type:Individual
Prefix:DR
First Name:JOSELY
Middle Name:A
Last Name:CARRERAS HERNANDEZ
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE PONCE DE LEON TORRE AUXILIO MUTUO
Mailing Address - Street 2:SUITE 717
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:AVE PONCE DE LEON TORRE AUXILIO MUTUO
Practice Address - Street 2:SUITE 717
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-765-0489
Practice Address - Fax:787-765-0402
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17932207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine