Individual
MRS. DORIS VEGA VILLAVICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH,OTR/L
Contact information
Practice address
SS3 CALLE 35, SANTA JUANITA, BAYAMON, PR 00956-4748
(787) 785-9683
(787) 785-9683
Mailing address
SS3 CALLE 35, SANTA JUANITA, BAYAMON, PR 00956-4748
(787) 785-9683
(787) 785-9683
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
422
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6605720151
MCS
PR
01
—
890461
MEDICARE Y MUCHO MAS
PR
Enumeration date
02/02/2006
Last updated
02/15/2024
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