Individual
MISS ZULEIKA MEDINA - DORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
HC 4 BOX 43019, HATILLO, PR 00659-9484
(787) 388-9679
Mailing address
HC 4 BOX 43019, HATILLO, PR 00659-9484
(787) 388-9679
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTL 938
PR
Other
Enumeration date
07/09/2007
Last updated
10/18/2007
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