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General NPI Number Information
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NPI Number | 1780949230
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Entity Type | Individual
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Provider Name | JUAN ERNESTO CARRILLO NAVAS M.D
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Gender | Male
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 336 AVE FONT MARTELO
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City | HUMACAO
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State | PR
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Zip | 00791-3229
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Country | US
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Telephone | 939-633-2111
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Fax | 939-303-3160
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Provider Business Mailing Address
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Address Line | URBANIZACION QUINTAS DE SAN LUIS SEGUNDA SECCION CALLE CAMPECHE A6
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 18456
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License Number State | PR
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