Individual
MRS. IVELISSE BURGOS VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE DIOSDADO DONES, ESQ. ROOSEVELT #117 COM. COCO, SALINAS, PR 00751
(787) 482-4164
Mailing address
PO BOX 682, GUAYAMA, PR 00785
(787) 482-4164
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
850
PR
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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