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Individual

BRENDA I OSORIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
PONCE DE LEON #58, URB. GARCIA, ARECIBO, PR 00612
(787) 878-7924
(787) 878-7924
Mailing address
PO BOX 737, ARECIBO, PR 00613-0737
(787) 466-2629
(787) 878-7924

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15727
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15727
STATE LICENSE
PR
01
DM-16041-6
STATE NARCOTIC LICENSE
PR
Enumeration date
05/23/2007
Last updated
03/07/2023
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