Provider Demographics
NPI:1265434971
Name:CHALOKA, RAYMOND J (MD)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:J
Last Name:CHALOKA
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 194000
Mailing Address - Street 2:SUITE 233
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-4000
Mailing Address - Country:US
Mailing Address - Phone:787-780-7468
Mailing Address - Fax:787-785-4007
Practice Address - Street 1:100 PASEO SAN PABLO
Practice Address - Street 2:ARTURO CADILLA BLDG SUITE 512
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7019
Practice Address - Country:US
Practice Address - Phone:787-780-7468
Practice Address - Fax:787-785-4007
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2023-11-17
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Provider Licenses
StateLicense IDTaxonomies
PR12136208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR88480Medicare ID - Type Unspecified
PRG41203Medicare UPIN