Individual
ILEAN PADUA-OCTAVIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
(787) 641-4561
Mailing address
URB EL ROSARIO CALLE 1 #63, YAUCO, PR 00698
(972) 834-3833
(787) 641-4561
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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