Individual
ALIDA ANGEOLINA VINCENTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
770 AVE HOSTOS STE 302, MAYAGUEZ, PR 00682-1552
(787) 407-1490
Mailing address
PROFFESIONAL BUILDING PLAZA, 770 AVE HOSTOS 302A, MAYAGUEZ, PR 00680
(787) 407-1490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000888
PR
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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