Individual
MARIA VIRGEN DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
J15 CALLE CAOBA, DORADO, PR 00646-4720
(787) 402-0861
Mailing address
J15 CALLE CAOBA, DORADO, PR 00646-4720
(787) 402-0861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
581
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1854280
DRIVER LICENSE
PR
Enumeration date
04/01/2019
Last updated
04/01/2019
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