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Individual

YALISSE LINETTE RODRIGUEZ TORRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
VALLE ALTO 1794 LLANURA, PONCE, PR 00730
(939) 217-8505
Mailing address
VALLE ALTO 1794 LLANURA, PONCE, PR 00730

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21783
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4565808
DRIVER LICENSE
PR
Enumeration date
06/25/2020
Last updated
02/07/2024
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