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Individual

MRS. VANESSA VIRGINIA CASILLAS BURGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLT

Contact information

Practice address
85 CALLE MAYAGUEZ, SAN JUAN, PR 00917-5109
(787) 455-3295
Mailing address
VILLAS DE NAVARRA, EDIF #8 APT. D, BAYAMON, PR 00956
(939) 232-7113

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
001528
PR

Other

Enumeration date
05/29/2025
Last updated
05/29/2025
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