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Individual

MARCOS ELIUD NATAL DELIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 CARR 2 # KM, MANATI, PR 00674-4894
(787) 854-2292
Mailing address
169 CALLE SIRENA, HATILLO, PR 00659-2769

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22843
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22843
PR
Enumeration date
10/05/2021
Last updated
03/14/2024
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