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Individual

MRS. YVONNE O CASTA VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
EDIFICIO CONCORDIA SUITE 501, CALLE CONCORDIA 8129, PONCE, PR 00717
(787) 841-9319
Mailing address
URB CAMINO DEL SUR, 346 CALLE FALCON, PONCE, PR 00716-2807
(787) 841-9319
(787) 841-9319

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
7637
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29534
PR
01
7170068
HUMANA
Enumeration date
12/05/2006
Last updated
06/17/2013
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