Provider Demographics
NPI:1578379988
Name:CARRO OCASIO, ANA CRISTAL (DPT)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:CRISTAL
Last Name:CARRO OCASIO
Suffix:
Gender:F
Credentials:DPT
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 35
Mailing Address - Street 2:
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783-0035
Mailing Address - Country:US
Mailing Address - Phone:787-322-4527
Mailing Address - Fax:
Practice Address - Street 1:URB SAN FERNANDO CALLE 1 A1
Practice Address - Street 2:DETRAS DEL MCDONALD
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00954-0467
Practice Address - Country:US
Practice Address - Phone:787-870-8403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4667225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist