Individual
HEIDI ESTHER FAISCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
D32 CARR 845, FAIR VIEW, SAN JUAN, PR 00926-8146
(787) 502-3375
(787) 755-3285
Mailing address
PO BOX 1799, TRUJILLO ALTO, PR 00977-1799
(787) 502-3375
(787) 755-3285
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00667
PR
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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