Individual
MS. SANDRA SEVILLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
54 CALLE FLOR DEL RIO, CANOVANAS, PR 00729-3341
(787) 633-4744
(787) 957-0222
Mailing address
PO BOX 367266, SAN JUAN, PR 00936-7266
(787) 633-4744
(787) 957-0222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
933
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870068
MEDICAREMUCHOMAS HEALTHCA
PR
Enumeration date
11/04/2006
Last updated
07/08/2007
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