is a Specialist in San Juan, Puerto Rico. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1457561474. The last update date is .
's current location address is 1812 Calle 6 Sw, San Juan, Puerto Rico. You can contact this provider via phone number 7874081706. The mailing address for is 1812 Calle 6 Sw, San Juan, Puerto Rico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1812 Calle 6 Sw, San Juan, Puerto Rico |
| Phone Number | 7874081706 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1457561474 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1812 Calle 6 Sw |
|---|---|
| City | San Juan |
| State | Puerto Rico (PR) |
| Post Code | 9211164 |
| Phone Number | 7874081706 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | #890 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| #890 | PR | O. T. LISCENCE |
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