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NPI Code Detail

MEDICARE: CARLOS T DE CARVALHO M.D.

MEDICARE: CARLOS T DE CARVALHO 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
1207R00000XInternal Medicine PhysicianA38504CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A38504OTHERCALICENSE

General Provider Information

NPI Number : 1518983543
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS T DE CARVALHO M.D.
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 12/21/2025

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

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