Individual
WALDESTRUDIS MADERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR. 14, TERRENOS SAN LUCAS II, PONCE, PR 00732
(787) 840-6835
Mailing address
HC 2 BOX 5437, PENUELAS, PR 00624-9694
(787) 836-5483
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
A004264
PR
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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