Individual
DR. MARTA KLACHKO LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 DORADO BCH E, DORADO, PR 00646-2208
(787) 796-1971
Mailing address
164 DORADO BCH E, DORADO, PR 00646-2208
(787) 796-1971
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12629
PR
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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