Individual
DR. RICARDO J BLONDET VISSEPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8133 CALLE CONCORDIA STE 104, EDIFICIO CONCORDIA, PONCE, PR 00717-1543
(787) 842-5315
Mailing address
8133 CALLE CONCORDIA STE 104, EDIFICIO CONCORDIA, PONCE, PR 00717-1543
(787) 842-5315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14575
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14575
MEDICAL LICENSE
PR
Enumeration date
07/21/2006
Last updated
01/22/2010
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