Individual
MARANGELIS FUENTES EMMANUELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
E6 CALLE SANTA CRUZ, BAYAMON, PR 00961
(787) 330-2100
Mailing address
469 AVE ESMERALDA APT 252, GUAYNABO, PR 00969-4287
(787) 233-4505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4650
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4620
—
PR
Enumeration date
08/30/2022
Last updated
08/30/2022
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