Individual
DR. ERICA LILIANA BOSSANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CARR #3 KM 12.3, 65 INFANTERIA AVE, CAROLINA, PR 00919-0990
(787) 603-2411
(787) 276-0065
Mailing address
P O BOX 190090, HATO REY STATION, SAN JUAN, PR 00919-0990
(787) 603-2411
(787) 276-0065
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16605
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16605
LICENCIA MD
PR
Enumeration date
06/18/2007
Last updated
07/08/2007
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