Individual
IVAN J MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
49 CALLE PALESTINA, BARRIO SAN LUIS, AIBONITO, PR 00705-3101
(787) 637-5941
Mailing address
49 CALLE PALESTINA, BARRIO SAN LUIS, AIBONITO, PR 00705-3101
(787) 637-5941
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
49213
PR
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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