Individual
POLANSKA RIVERA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
137 AVE CENTRAL CARMEN, VEGA ALTA, PR 00692-9670
(787) 608-8047
Mailing address
PO BOX 141486, ARECIBO, PR 00614-1486
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17871
PR
Other
Enumeration date
04/22/2010
Last updated
04/10/2012
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