Individual
SANDRA IVETTE DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HOSP PEDIATRICO DR ANTONIO ORTIZ, #52 CENTRO MEDICO, RIO PIEDRAS, PR 00719-1079
(787) 777-3535
Mailing address
BUZON 254 BO. MARIANA, NAGUABO, PR 00718
(787) 922-3217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
573
PR
Other
Enumeration date
05/16/2007
Last updated
07/17/2007
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