Individual
DR. IVONNE MARIE BANUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
281 AVE DOMENECH, SAN JUAN, PR 00918-3520
(787) 754-1044
Mailing address
162 CALLE REINA ANA, LA VILLA DE TORRIMAR, GUAYNABO, PR 00969-3287
(787) 790-5655
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9529
PR
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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