Individual
DR. SANDRA PEZZOTTI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1035 AVE ASHFORD, SUITE C-1, SAN JUAN, PR 00907-1162
(787) 460-3561
(787) 721-0721
Mailing address
2 CALLE SEVILLA, TORRIMAR, GUAYNABO, PR 00966-3018
(787) 460-3561
(787) 277-0105
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
008848
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008848
MEDICAL LICENSE
PR
Enumeration date
06/14/2006
Last updated
07/08/2007
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