Individual
MRS. LUZ I TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
55 CALLE SANTIAGO N, GURABO, PR 00778-2426
(787) 737-6042
(787) 712-0540
Mailing address
PO BOX 1353, GURABO, PR 00778-1353
(787) 737-6042
(787) 712-0540
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
2304
PR
246Z00000X
Other Specialist/Technologist
Primary
775
PR
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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