Individual
MISS LISSETTE ACOSTA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
G 10 PERIFERAL AVE, COOP CUIDAD UNIVERSITARIA, TRUJILLO ALTO, PR 00976-2104
(787) 760-8405
(787) 760-8405
Mailing address
PO BOX 20897, SAN JUAN, PR 00928-0897
(787) 760-8405
(787) 760-8405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
133
PR
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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