Provider Demographics
NPI:1336535855
Name:CARRASQUILLO GONZALEZ, OSWARD YADIEL (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:OSWARD
Middle Name:YADIEL
Last Name:CARRASQUILLO GONZALEZ
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7804
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7804
Mailing Address - Country:US
Mailing Address - Phone:939-940-1208
Mailing Address - Fax:
Practice Address - Street 1:410 MARKET ST STE 400
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-4061
Practice Address - Country:US
Practice Address - Phone:984-974-3839
Practice Address - Fax:984-974-3692
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19625207N00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice