Individual
MRS. MAYRA IVETTE TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ENFERMERA
Contact information
Practice address
DIANA 3 CARRETERA 183, A-17 SANTA ROSA, CAGUAS, PR 00725-0725
(787) 647-7158
(787) 745-2165
Mailing address
DIANA 3 CARRETERA 183, A-17 SANTA ROSA, CAGUAS, PR 00725-0725
(787) 647-7158
(787) 745-2165
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
4448
PR
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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