Individual
MISS MARRILIZ SERRANO MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
MOCA PROFESSIONAL PLAZA PR111 INT PR 110 KM 14.5, MOCA, PR 00676
(787) 641-0773
Mailing address
MOCA PROFESSIONAL PLAZA PR111 INT PR 110 KM 14.5, MOCA, PR 00676
(787) 641-0773
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
82612
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6014471
—
PR
Enumeration date
01/09/2019
Last updated
01/09/2019
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