Individual
LILA E MANZANO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550S CALLE CONCEPCION VERA AYALA, CARR 110 KM 12.2, MOCA, PR 00676-5005
(787) 877-8000
Mailing address
PO BOX 4756, AGUADILLA, PR 00605-4756
(787) 404-2838
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22958
PR
Other
Enumeration date
08/18/2022
Last updated
09/02/2022
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