Provider Demographics
NPI:1538197538
Name:CARCACHE, MILENA
Entity type:Individual
Prefix:DR
First Name:MILENA
Middle Name:
Last Name:CARCACHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLEALDEBARAN544ALTAMIRA,SANJUAN,PR
Mailing Address - Street 2:EDIF.ENERGIZEROFIC102
Mailing Address - City:SANJUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00970-7891
Mailing Address - Country:US
Mailing Address - Phone:787-781-2028
Mailing Address - Fax:787-781-2500
Practice Address - Street 1:CALLE ALDEBARAN 544 ALTAMIRA
Practice Address - Street 2:EDIF.ENERGIZER OFICINA102
Practice Address - City:SANJUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-781-2028
Practice Address - Fax:787-781-2500
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09891223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry