Individual
WILMA PATILLAS MONGE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 CALLE GUILLERMO RIEFKOHL, PATILLAS, PR 00723-0697
(787) 363-2447
Mailing address
PO BOX 697, PATILLAS, PR 00723-0697
(787) 363-2447
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
075263
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075263
LICENSE NUMBER
PR
Enumeration date
06/06/2018
Last updated
06/16/2018
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