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NPI Code Detail

MEDICARE: DR. CARLOS M BORRERO RIOS M.D.

MEDICARE: DR. CARLOS M BORRERO RIOS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician15604PR

General Provider Information

NPI Number : 1336210814
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS M BORRERO RIOS M.D.
Provider Business Mailing Address
First Line : PO BOX 140275
Second Line :
City : ARECIBO
State : PR
Zip : 00614-0275
Country : US
Telephone Number : 939-544-5520
Fax Number :
Provider Business Practice Location Address
First Line : 16 CALLE ANA LENS DE SUSONI
Second Line :
City : ARECIBO
State : PR
Zip : 00612-4301
Country : US
Telephone Number : 939-544-5520
Fax Number : 939-544-5048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 12/04/2023

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