Individual
BRENDA M CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1812 CALLE 6 SW, LAS LOMAS, SAN JUAN, PR 00921-1164
(787) 408-1706
Mailing address
1812 CALLE 6 SW, LAS LOMAS, SAN JUAN, PR 00921-1164
(787) 408-1706
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
#890
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#890
O. T. LISCENCE
PR
Enumeration date
05/22/2007
Last updated
07/08/2007
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