Individual
MARYKNOLL DE LA PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2225 PONCE BYP STE 607, PONCE, PR 00717-1379
(787) 284-4830
(787) 284-4814
Mailing address
30 CALLE FRESA, SAN JUAN, PR 00926-5106
(787) 549-6651
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20224
PR
Other
Enumeration date
05/13/2009
Last updated
07/06/2023
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