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Contact Information

JUAN J CARRERE, MD
621 SOUTH MAIN STREET
DUBOIS, PA15801
 Phone: 814-371-0600
 Fax: 814-372-4764
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for JUAN J CARRERE · (Male)

NPI Number 1669474318
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2005
Last updated 11/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME85054
  • PA License # MD435438
  • FL Medicaid 264308100
  • PA Medicaid 102241660
  • FL Other 7662289 AETNA
  • FL Other 285427 AVMED
  • FL Other 17483 BCBS
  • FL Other 0032560 CIGNA
  • FL Other 2499134 GHI
  • FL Other 17483X MEDICARE PTAN
  • FL Other 100017048 RAILROAD MEDICARE
  • FL Other P00710404 RAILROAD MEDICARE
  • FL Other 1669474318 TRICARE
  • FL Other 2134161 UNITED HEALTHCARE
  • PA Other 1616507 GATEWAY
  • PA Other 000423031 HIGHMARK
  • PA Other 143491 MEDICARE PTAN
  • PA Other 412687 UPMC
Hospital affiliation(s)
  • CAPE CORAL HOSPITAL - (Acute Care)
    636 DEL PRADO BLVD
    CAPE CORAL, FL 33990
  • GULF COAST MEDICAL CENTER LEE MEMORIAL HEALTH SYSTEM - (Acute Care)
    13681 DOCTOR'S WAY
    FORT MYERS, FL 33912
  • LEE MEMORIAL HOSPITAL - (Acute Care)
    2776 CLEVELAND AVE
    FORT MYERS, FL 33901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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