Individual
DR. SYLMARI ANNETTE LICIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HOSPITAL EL MAESTRO CALLE SERGIO CUEVAS BUSTAMANTE, SAN JUAN, PR 00927
(787) 758-8383
Mailing address
PO BOX 364708, SAN JUAN, PR 00936-4708
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23477
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
05/23/2022
Last updated
08/09/2023
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