Individual
MAGALY BRACERO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 CALLE MUNOZ RIVERA, SUITE 2, CABO ROJO, PR 00623-3538
(787) 851-6407
(787) 851-6407
Mailing address
PO BOX 882, CABO ROJO, PR 00623-0882
(787) 851-6407
(787) 851-6407
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14805
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14805
SSBV
PR
01
—
6230123
HUMANA
PR
01
—
A499
INTERNATIONAL MEDICAL CAR
PR
Enumeration date
11/29/2005
Last updated
07/18/2012
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