Individual
MAICKOL BURGOS- RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NS
Contact information
Practice address
HC 4 BOX 17804, CAMUY, PR 00627-9502
(787) 237-6430
Mailing address
HC 4 BOX 17804, CAMUY, PR 00627-9502
(787) 237-6430
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
35735G
PR
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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