Individual
MARIELYS NICOLE ALICEA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
VILLAS DE LA PLAYA, #174, VEGA BAJA, PR 00693
(888) 700-6623
Mailing address
VILLAS DE LA PLAYA, #174, VEGA BAJA, PR 00693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3349
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2019
Last updated
10/06/2020
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