Individual
MRS. SANDRA ELENA HURTADO PONCE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
COND MIRAMAR # 902, PONCE DE LEON AVE. APT 306, SAN JUAN, PR 00907-3458
(787) 533-3390
Mailing address
MIRAMAR EMBASSY 902, PONCE DE LEON AVE. APT 306, SAN JUAN, PR 00907
(787) 533-3390
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2110780
PR
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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