Provider Demographics
NPI:1639102205
Name:HENN, CARMEN E (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:E
Last Name:HENN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:GARITA ST ,PASEO S J
Mailing Address - Street 2:E-9
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-283-1275
Mailing Address - Fax:787-641-9533
Practice Address - Street 1:1777 CALLE SAN MAURO
Practice Address - Street 2:SAGRADO CORAZON
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4237
Practice Address - Country:US
Practice Address - Phone:787-283-1275
Practice Address - Fax:787-641-9533
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR8653207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology