Provider Demographics
NPI:1992734594
Name:CARRION LORENZO, CARLOS I
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:I
Last Name:CARRION LORENZO
Suffix:
Gender:M
Credentials:
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 787
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-621-2121
Mailing Address - Fax:787-621-0818
Practice Address - Street 1:PLAZA PUERTA DEL SOL NUM 54
Practice Address - Street 2:LOCAL 14
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-4040
Practice Address - Fax:787-854-3030
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14148207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21049Medicare ID - Type UnspecifiedNUM PROVEEDOR MEDICARE