Individual
VILMA RUT FELICIANO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4364 CALLE GIMNASIA, PONCE, PR 00728-3700
(281) 701-3682
Mailing address
4364 CALLE GIMNASIA, PONCE, PR 00728-3700
(281) 701-3682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001605
PR
Other
Enumeration date
03/14/2024
Last updated
04/03/2024
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