Individual
NICOLE MASSANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
715 AVE PONCE DE LEON # 37.5, SAN JUAN, PR 00917-5032
(787) 758-2000
Mailing address
85 PLAZA CAMELIA, URB. PRIMAVERA, TRUJILLO ALTO, PR 00976
(787) 644-5977
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22359
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2016
Last updated
06/16/2021
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