Individual
MICHEL TAMAYO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
PO BOX 47, MERCEDITA, PR 00715-0047
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
36670-R
PR
Other
Enumeration date
07/31/2023
Last updated
08/01/2023
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