Individual
LAURA ANGELIE ROMAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CASIA ST, SAN JUAN, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
34820
PR
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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