Individual
MISAEL FRANCISCO RIQUELME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR #2 KM 81.5 BO CARRIZALES, HATILLO, PR 00659
(787) 915-3000
Mailing address
10309 SECT EL VERDE, QUEBRADILLAS, PR 00678-9755
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4598
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4837595
DRIVERS LICENSE
PR
Enumeration date
05/26/2021
Last updated
05/26/2021
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