Individual
MARIA ALEJANDRA PRO-RISQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 NEVINS ST, #505, BRIGHTON, MA 02135-3514
(617) 782-9210
(617) 782-8565
Mailing address
11 NEVINS ST, #505, BRIGHTON, MA 02135-3514
(617) 782-9210
(617) 782-8565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
205824
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151491
—
MA
Enumeration date
08/09/2006
Last updated
01/16/2017
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