Individual
AWILDA PORTALATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
HC 7 BOX 33897, HATILLO, PR 00659-9402
(787) 365-8305
Mailing address
HC 7 BOX 33897, HATILLO, PR 00659-9402
(787) 365-8305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1171
PR
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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