Individual
MIYANIL HERNANDEZ MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.L.
Contact information
Practice address
CARR # 2 KM 56.9, BARCELONETA, PR 00618
(787) 400-0123
Mailing address
PO BOX 1621, MANATI, PR 00674-1621
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0999
PR
Other
Enumeration date
11/23/2005
Last updated
03/20/2008
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