Individual
DR. BASILIA I DE ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
AVE. ELEANOR ROOSEVELT 114 ALTOS 2DO. PISO, HATO REY, PR 00918
(787) 759-7035
(787) 753-8095
Mailing address
LL13 CALLE ROSE, ALTURAS DE BORINQUEN GARDENS, SAN JUAN, PR 00926-5929
(787) 640-3256
(787) 731-5707
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5143
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5143
STATE LICENSE
PR
Enumeration date
04/02/2007
Last updated
07/08/2007
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