Individual
DR. JUANITA GUADALUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
O20 AVE L MUNOZ MARIN, URB. VILLA CARMEN, CAGUAS, PR 00725-6162
(787) 743-1080
(787) 747-5759
Mailing address
O20 AVE L MUNOZ MARIN, URB. VILLA CARMEN, CAGUAS, PR 00725-6162
(787) 743-1080
(787) 747-5759
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
6146
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6146
PERMANENT M.D. LICENSE PR
PR
Enumeration date
06/27/2007
Last updated
07/08/2007
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