Individual
LAURA MATA BALDERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
349 AVE HOSTOS, MEDICAL EMPORIUM II SUITE A29, MAYAGUEZ, PR 00680-1509
(787) 690-2157
(787) 833-3831
Mailing address
PO BOX 472, MAYAGUEZ, PR 00681-0472
(787) 690-2157
(787) 833-3831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9091
PR
Other
Enumeration date
08/23/2006
Last updated
08/18/2016
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