Individual
MARILLIAM JORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA 829 KM 1.8, BARRIO PINA, TOA ALTA, PR 00953
(787) 412-3346
(787) 797-6978
Mailing address
RR 3 BOX 53030, TOA ALTA, PR 00953-9803
(787) 412-3346
(787) 797-6978
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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