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NPI Code Detail

MEDICARE: CARLOS T DE CARVALHO M D INC

MEDICARE: CARLOS T DE CARVALHO M D INC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1275711749
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARLOS T DE CARVALHO M D INC
Provider Business Mailing Address
First Line : 629 THIRD AVE STE A
Second Line :
City : CHULA VISTA
State : CA
Zip : 91910-5786
Country : US
Telephone Number : 619-422-6158
Fax Number : 619-422-2019
Provider Business Practice Location Address
First Line : 629 THIRD AVE STE A
Second Line :
City : CHULA VISTA
State : CA
Zip : 91910-5786
Country : US
Telephone Number : 619-422-6158
Fax Number : 619-422-2019
Authorized Official
Title or Position : BILLING MANAGER
Name : LIZ GALLEGOS
Credential :
Telephone Number : 619-370-7517
Provider Enumeration Date : 02/06/2008
Last Update Date : 12/23/2025

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Directions to “CARLOS T DE CARVALHO M D INC ” Practice Location

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