Individual
VIVIAN CABRERA MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BOQUERON BAY VILLAS, APT 605, BOQUERON, PR 00622-9742
(787) 951-3245
(787) 851-2625
Mailing address
PO BOX 5103-196, CABO ROJO, PR 00623
(787) 951-3245
(787) 851-2625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
418-PA
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
418-PA
MEDICAL LICENSE NUMBER
PR
Enumeration date
05/21/2021
Last updated
05/21/2021
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