Individual
MANUEL FERRERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PMB SUITE 252 AVENIDA 90, RIO HONDO, BAYAMON, PR 00961
(787) 479-4657
Mailing address
PMB SUITE 252 AVENIDA 90, RIO HONDO, BAYAMON, PR 00961
(787) 479-4657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208D00000X
General Practice Physician
Primary
15990
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15990
LICENCIA
—
Enumeration date
01/30/2006
Last updated
10/23/2012
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