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Individual

DR. LIBERTAD ISABEL RUSCALLEDA REYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10 CALLE CASIA, SAN JUAN, PR 00921
(787) 641-7582
Mailing address
BO VICTOR ROJAS CARR 129, ARECIBO, PR 00612
(787) 641-7582

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17082
PR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
17082
PR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
17082
PR

Other

Enumeration date
04/11/2008
Last updated
03/15/2016
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