Provider Demographics
NPI:1962485417
Name:CARO-BONET, ARMANDO IVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:IVAN
Last Name:CARO-BONET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#55 E DE DIEGO STREET,SUITE 403
Mailing Address - Street 2:CPR PROFESSIONAL BUILDING
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-806-2588
Mailing Address - Fax:877-787-1615
Practice Address - Street 1:55 E DE DIEGO STREET, SUITE 403
Practice Address - Street 2:CPR PROFESSIONAL BUILDING
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-806-2588
Practice Address - Fax:877-787-1615
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8528207L00000X, 2084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE86271Medicare UPIN