Individual
ANGEL EMMANUEL CASILLAS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
AVE JUAN PONCE DE LEON 715, SAN JUAN, PR 00917-5032
(787) 758-2000
Mailing address
AVE JUAN PONCE DE LEON 715, SAN JUAN, PR 00917
(787) 758-2000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2024-P.A.
PR
Other
Enumeration date
04/22/2019
Last updated
01/24/2024
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