Individual
LYVIAN LYNETTE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 CALLE SAUCO, PONCE, PR 00716-2124
(787) 298-0475
Mailing address
831 CALLE SAUCO, PONCE, PR 00716-2124
(787) 298-0475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000658
PR
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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