Individual
BETZAIDA MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
#997 ST KM 1 BO DESTINO, VIEQUES, PR 00765
(787) 741-0392
(787) 741-2550
Mailing address
PO BOX 1128, VIEQUES, PR 00765-1128
(787) 741-3476
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5518
PR
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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