Healthcare Provider Details

I. General information

NPI: 1962485417
Provider Name (Legal Business Name): ARMANDO IVAN CARO-BONET M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 10/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 E DE DIEGO STREET, SUITE 403 CPR PROFESSIONAL BUILDING
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

#55 E DE DIEGO STREET,SUITE 403 CPR PROFESSIONAL BUILDING
MAYAGUEZ PR
00680
US

V. Phone/Fax

Practice location:
  • Phone: 787-806-2588
  • Fax: 877-787-1615
Mailing address:
  • Phone: 787-806-2588
  • Fax: 877-787-1615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number8528
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number8528
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number8528
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: