Individual
WILMARIE JEAN BRUCKMAN BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UPR MEDICAL SCIENCES CAMPUS, SUITE 209, SAN JUAN, PR 00936
(787) 756-4020
Mailing address
874 CALLE HEBRIDES, SAN JUAN, PR 00924-1732
(787) 276-8183
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12043
PR
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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