Individual
DR. GLORYMAR OSTOLAZA VILLARRUBIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
70 URB SANTA CRUZ, BAYAMON, PR 00961
(787) 620-4747
Mailing address
F1-26 CALLE C, SAN JUAN, PR 00926-6433
(787) 447-8378
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21023
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2017
Last updated
08/13/2018
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