Individual
IVANA CAROLINA ESQUILIN SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATO/L
Contact information
Practice address
00921 PR-21, SAN JUAN, PR 00921
(787) 766-4646
Mailing address
URB. BRISAS DE CANOVANAS, CALLE REINITA #17, CANOVANAS, PR 00729-3021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1450
PR
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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