Individual
DR. PAOLA KATSI VISSEPO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CARRETERA 22 BARRIO MONACILLOS, SAN JUAN, PR 00935-0001
(787) 765-5183
Mailing address
PO BOX 1464, TRUJILLO ALTO, PR 00977-1464
(787) 632-3308
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15482-I
PR
208D00000X
General Practice Physician
Primary
23111
PR
390200000X
Student in an Organized Health Care Education/Training Program
23111
PR
Other
Enumeration date
06/30/2020
Last updated
04/30/2024
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