Individual
MARIANA TERESA TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PASEO DEL REY, APT 3302, PONCE, PR 00716
(787) 528-1124
Mailing address
PASEO DEL REY, APT 3302, PONCE, PR 00716
(787) 528-1124
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29458-R
PR
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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