Individual
SHIRLEY CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
URB MONTE CARLO A-9, VEGA BAJA, PR 00693
(787) 517-5107
Mailing address
PO BOX 4002, PMB 140, VEGA ALTA, PR 00692-4002
(787) 517-5107
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 481
PR
Other
Enumeration date
10/04/2007
Last updated
10/16/2007
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