Individual
MADELINE POVENTUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA 417 INTERSECCION 4417, KM 0 7 BO MAMEY, AGUADA, PR 00602
(787) 252-5086
Mailing address
APARTADO 915, AGUADA, PR 00602
(787) 252-5086
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 274
PR
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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