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Individual

ROSA MARIA BERMUDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
PR 14 KM 49.4, BO LLANOS, AIBONITO, PR 00705
(787) 739-8182
Mailing address
PO BOX 1330, CIDRA, PR 00739-1330
(787) 739-8182
(787) 739-8190

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
20979
PR
1041C0700X
Clinical Social Worker
Primary
14065
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
660434923
PR
Enumeration date
03/28/2017
Last updated
12/23/2019
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