Individual
WILDALIS ROVIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
#15 DR. BASORA ST., HOSPITAL PEREA, MAYAGUEZ, PR 00680
(787) 834-0101
Mailing address
PO BOX 601, MAYAGUEZ, PR 00681-0601
(787) 439-7259
(787) 265-5951
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17176
PR
Other
Enumeration date
08/14/2008
Last updated
03/25/2011
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