Provider Demographics
NPI:1992808562
Name:ISIDRO CARRION, ANGEL ANTONIO (MD)
Entity type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:ANTONIO
Last Name:ISIDRO CARRION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 362842
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-2842
Mailing Address - Country:US
Mailing Address - Phone:787-751-1312
Mailing Address - Fax:787-751-5158
Practice Address - Street 1:ARTENAL HOSTAS 1A
Practice Address - Street 2:SOTANO CAPITAL CENTER TONE 1
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-751-1312
Practice Address - Fax:787-751-5158
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10003207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I27112Medicare UPIN
PR0083504CMedicare ID - Type Unspecified