Individual
MAGDALENA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 AVE DE DIEGO, ARECIBO, PR 00612
(787) 641-9133
Mailing address
H17 CALLE 9, URB. VISTA AZUL, ARECIBO, PR 00612
(787) 641-9133
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11203
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22411
APS HEALTHCARE
PR
Enumeration date
06/11/2014
Last updated
06/11/2014
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