Individual
GLORISEL VIVES RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BO HATO ABAJO SECTOR BARRANCA, CARR 653 KM 2.5, ARECIBO, PR 00612
(787) 563-0124
Mailing address
7358 CARR 485, QUEBRADILLAS, PR 00678-9706
(787) 356-0837
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
559
PR
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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