Individual
LAURA CORDOVA ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
AVE PONCE DE LEON PARADA 37 1/2, HATO REY, PR 00919-1227
(787) 758-2000
(787) 771-7699
Mailing address
PO BOX 191227, SAN JUAN, PR 00919-1227
(787) 758-2000
(787) 771-7699
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
16926-I
PR
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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