Individual
MS. MILDRED IVELISSE MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
CALLE COLON NUMERO 99 INT, AGUADA, PR 00602
(787) 645-9481
(787) 868-3611
Mailing address
PO BOX 1284, AGUADA, PR 00602-1284
(787) 645-9481
(787) 868-3611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
671
PR
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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