Healthcare Provider Details

I. General information

NPI: 1437076908
Provider Name (Legal Business Name): MILAGROS P CARRASQUILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 CALLE CULEBRINA
COAMO PR
00769-4942
US

IV. Provider business mailing address

202 CALLE CULEBRINA
COAMO PR
00769-4942
US

V. Phone/Fax

Practice location:
  • Phone: 787-383-9431
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number647
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: