MEDICARE: JOSE L CARRION 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
1	146D00000X	Personal Emergency Response Attendant
2	174400000X	Specialist

General Provider Information

NPI Number	:	1417923442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE L CARRION M.D.

Provider Business Mailing Address
First Line	:	1364 CALLE 18 NOROESTE
Second Line	:	PUERTO NUEVO
City	:	SAN JUAN
State	:	PR
Zip	:	00920-2238
Country	:	US
Telephone Number	:	787-782-1067
Fax Number	:	787-775-0093

Provider Business Practice Location Address
First Line	:	1364 CALLE 18 NOROESTE
Second Line	:	PUERTO NUEVO
City	:	SAN JUAN
State	:	PR
Zip	:	00920-2238
Country	:	US
Telephone Number	:	787-782-1067
Fax Number	:	787-775-0093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	03/19/2009

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