Individual
DALMARYS MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CALLE MARINA # 6, COROZAL, PR 00783
(787) 859-1062
(787) 859-2596
Mailing address
HC03 BOX 17363, BO. NEGROS, COROZAL, PR 00783-9817
(787) 516-5734
(787) 859-2596
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11231I
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17283
DRIVER LISCENCE NUM. 4108049
PR
Enumeration date
09/03/2008
Last updated
09/03/2008
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