Organization
MAYRA VILLANUEVA PAGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRA EDNA VILLANUEVA (CLINIC SOCIAL WORKER)
(787) 689-0665
Entity
Organization
Contact information
Practice address
HC 56 BOX 47773, AGUADA, PR 00602-8706
(787) 689-0665
Mailing address
HC 56 BOX 47773, AGUADA, PR 00602-8706
(787) 689-0665
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
10647
PR
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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