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Individual

SHEILA MARIE SUSTACHE DE LEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
URB LA PRADERA 1002 ARMADILLO STREET, GUAYAMA, PR 00784-6453
(787) 709-1945
Mailing address
URB LA PRADERA 1002 ARMADILLO STREET, GUAYAMA, PR 00784-6453
(787) 709-1945

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
023180
PR
208D00000X
General Practice Physician
Primary
023180
PR

Other

Enumeration date
04/10/2023
Last updated
09/18/2023
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