Provider Demographics
NPI:1104965664
Name:CARRASCAL, MARIA E (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:E
Last Name:CARRASCAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BAHIA ST.
Mailing Address - Street 2:RB -38 URB. MARINA BAHIA
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962
Mailing Address - Country:US
Mailing Address - Phone:787-275-3087
Mailing Address - Fax:787-275-3087
Practice Address - Street 1:38 RB BAHIA ST.
Practice Address - Street 2:URB. MARINA BAHIA
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962
Practice Address - Country:US
Practice Address - Phone:787-275-3087
Practice Address - Fax:787-275-3087
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR119702080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases