Carlos A Avellanet, M.D.

Individual provider Active NPI Gynecology Physician · Bayamon, PR

NPI 1982983193 · NPPES record last updated Aug 5, 2011

Key facts

NPI
1982983193
Entity type
Individual (NPI type 1)
Primary specialty
Gynecology Physician 207VG0400X
License
7174 (PR)
Practice address
13-25 Calle 8
Santa Rosa
Bayamon, PR 00959-6627
Phone
(201) 294-5847
Fax
(201) 243-6914
NPI assigned
Aug 5, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7174PRMDGynecology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 7174 PR Yes

Addresses

Primary practice location

13-25 Calle 8
Santa Rosa
Bayamon, PR 00959-6627

Mailing address

Calle 8 Bloque 13 # 25
Santa Rosa
Bayamon, PR 00959
Phone (201) 294-5847

Other providers in Bayamon, PR

All providers in Bayamon, PR · Gynecology Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.