Individual
MRS. JASHIRA URENA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ROBERTO CLEMENTE HSING, EDIFICIO 30, CAROLINA, PR 00987-7329
(787) 276-8123
Mailing address
PO BOX 1356, JUNCOS, PR 00777-1356
(787) 514-0910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
798
PR
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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