Portocarrero, Carlos M

Portocarrero, Carlos M is an sole proprietor health care provider with primary practice located at 169 Calle San Jorge , San Juan PR 00911-2054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Portocarrero, Carlos M can be contacted via phone (787) 723-1234.

Contact Information

Primary practice address
169 Calle San Jorge San Juan PR 00911-2054
Fax: (787) 289-5544
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 7614 Puerto Rico

Profile Details

NPI number 1043345499
LBN Legal business name Portocarrero, Carlos M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated May 21st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043345499 NPPES
Puerto Rico Other $$$$$$$$$ SSN
Puerto Rico Other 80394 SSN

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