Provider Demographics
NPI:1023234028
Name:CARRERAS, AILEEN (MD)
Entity type:Individual
Prefix:DR
First Name:AILEEN
Middle Name:
Last Name:CARRERAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VILLA NEVAREZ 1059 CALLE 14
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:787-653-5353
Mailing Address - Fax:787-653-5364
Practice Address - Street 1:URB. VILLA NEVAREZ 1059 CALLE 14
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-653-5353
Practice Address - Fax:787-653-5364
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9461208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0012665OtherHUMANA REFORMA
PR4159OtherAMERICAN HEALTH MEDICARE
PR0083656Medicare ID - Type UnspecifiedMEDICARE