Individual
MARISOL VIERA AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
HC 1 BOX 20912, CAGUAS, PR 00725-8970
(787) 688-9192
Mailing address
HC 1 BOX 20912, CAGUAS, PR 00725-8970
(787) 688-9192
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
74572
PR
363LF0000X
Family Nurse Practitioner
Primary
3858-PA
PR
Other
Enumeration date
03/15/2022
Last updated
09/09/2024
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