Individual
CARLOS MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CONTRACTOR
Contact information
Practice address
61 CALLE D RIO GRANDE HILLS, RIO GRANDE, PR 00745
(787) 550-6934
(787) 550-6934
Mailing address
61 CALLE D RIO GRANDE HILLS, RIO GRANDE, PR 00745
(787) 550-6934
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2256827
PR
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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