Individual
GRISSELLE I VILLALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
208 CALLE SAN LORENZO, RIO PIEDRAS HEITHS, SAN JUAN, PR 00926-3223
(787) 751-0985
Mailing address
208 CALLE SAN LORENZO, RIO PIEDRAS HEITHS, SAN JUAN, PR 00926-3223
(787) 751-0985
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
12091
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12091
LICENSE
PR
Enumeration date
08/21/2006
Last updated
07/08/2007
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