Individual
MRS. VICTORIA MARIA ULLOA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CALLE BUEN SAMAIITANO, D 12 GARDENVILLE, GUAYNABO, PR 00966
(787) 783-0610
(787) 783-0686
Mailing address
COND VISTAS DEL RIO, APT 18 A, BAYAMON, PR 00959
(787) 349-0933
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15011
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011218
PREFERRED HEALTH
—
01
—
22777UL
TRIPLE SSS
—
01
—
4875
PALIC PG
—
01
—
60950
CRUZ AZUL
—
01
—
9600206
HUMANA
—
Enumeration date
05/31/2006
Last updated
07/08/2007
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