Individual
MRS. MADELEINE DE CHOUDENS-FARRARO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
AVE BARBOSA ESQ SICILIA #404, CMS SAN JOSE, SAN JUAN, PR 00923
(787) 758-8840
Mailing address
B ST # B-36 URB EL DORADO, SAN JUAN, PR 00926
(787) 318-4907
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5869
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5869
STATE LICENSE
PR
Enumeration date
10/18/2005
Last updated
07/08/2007
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