Organization
VALENI MASTECTOMY WOMENS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA T LICEAGA (PRESIDENT)
(787) 798-7023
Entity
Organization
Contact information
Practice address
SANTA ROSA MALL, SUITE 202 B, BAYAMON, PR 00959-6710
(787) 798-7023
(508) 682-0917
Mailing address
COLORADO ST. 1631, URB. SAN GERARDO, SAN JUAN, PR 00926
(787) 798-7023
(508) 682-0917
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/02/2009
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