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Individual

DESSY ANN ILDEFONSO-RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
99 CALLE GUILLERMO RIEFKHOL, PATILLAS, PR 00723-0072
(787) 839-4320
(787) 271-0004
Mailing address
PO BOX 697, PATILLAS, PR 00723-0697
(787) 839-4320

Taxonomy

Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
63
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171290
REGISTRY NUMBER
PR
Enumeration date
08/11/2021
Last updated
08/11/2021
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