Provider Demographics
NPI:1194765669
Name:LOUBRIEL CARRIO, ADVILDA D (MD)
Entity type:Individual
Prefix:DR
First Name:ADVILDA
Middle Name:D
Last Name:LOUBRIEL CARRIO
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:LOS ARBOLES DE MONTEHIEDRA
Mailing Address - Street 2:BLVD 600 BZN 342
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7106
Mailing Address - Country:US
Mailing Address - Phone:787-760-4425
Mailing Address - Fax:787-748-4036
Practice Address - Street 1:CALLE MANUEL F ROSSY ESQ ISABEL II
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-995-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10969208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG04555Medicare UPIN
PR0083359Medicare ID - Type Unspecified