Individual ProviderRafael Joaquin Carrillo TorresStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressHospital Oncologico Bo Monacillos Carr 22 Centro Medico, San Juan, PR 00935-0001(787) 763-4149PECOS EnrollmentBased on the most recent information from CMS, provider Rafael Joaquin Carrillo Torres does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1588159115Provider TypeIndividualFull NameCarrillo Torres, Rafael JoaquinTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date6/26/2018Last Updated9/22/2024Contact InformationPractice LocationPractice AddressHospital Oncologico Bo Monacillos Carr 22 Centro Medico, San Juan, PR 00935-0001Phone(787) 763-4149FaxUnlisted FaxMailing LocationMailing AddressPO Box 191811, San Juan, PR 00919-1811PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense14725Puerto RicoCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense14725Puerto Rico