Individual
NELLY IVETTE IRIZARRY TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE HERNANDEZ CARRION URB ATENAS, DEPTO EDUCACION MEDICA, MANATI, PR 00674
(787) 621-3700
Mailing address
PO BOX 141867, ARECIBO, PR 00614-1867
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21727
PR
390200000X
Student in an Organized Health Care Education/Training Program
14959
PR
Other
Enumeration date
05/22/2019
Last updated
06/13/2020
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