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Individual

EVELYN S ALMODOVAR PUANTONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2907 AVE EMILIO FAGOT, PONCE, PR 00716-3613
(787) 844-6230
(787) 848-4737
Mailing address
609 AVE TITO CASTRO, STE 102 PMB 222, PONCE, PR 00716-0200
(787) 844-6230
(787) 848-4737

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15056
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15056
PR LICENSE
PR
Enumeration date
07/11/2006
Last updated
07/08/2007
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