Individual
MARIBEL DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE VOLGA 94, URB. VILLA SERENA, SANTA ISABEL, PR 00757
(787) 259-3398
(787) 812-4818
Mailing address
JUAN H. CINTRON 317, ESTANCIAS DEL GOLF, PONCE, PR 00730-0515
(787) 259-3398
(787) 812-4818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
487
PR
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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