Provider Demographics
NPI:1801889324
Name:CARRERAS, JOSE R V (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:R
Last Name:CARRERAS
Suffix:V
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4624
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4624
Mailing Address - Country:US
Mailing Address - Phone:563-626-9809
Mailing Address - Fax:956-362-6989
Practice Address - Street 1:1313 ST CLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6654
Practice Address - Country:US
Practice Address - Phone:956-362-6980
Practice Address - Fax:956-362-6989
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8678207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX084916801Medicaid
TX00R82RMedicare ID - Type UnspecifiedPROVIDER
TX084916801Medicaid