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1962144865
AMILCAR RAFAEL GONZALEZ CARABALLO
BRONX, NY
NPI
1962144865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-11
Last Update Date
2023-06-14
Business Address
Dr. AMILCAR RAFAEL GONZALEZ CARABALLO MD
1650 GRAND CONCOURSE
BRONX, NY 10457-7697
Phone number: 718-901-8704
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Mailing Address
Dr. AMILCAR RAFAEL GONZALEZ CARABALLO MD
HC 4 BOX 49300
HATILLO, PR 00659-8510
Phone number: 939-585-7288
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