Individual
DR. WILFREDO JOSE VICENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
URB. RIVER PLANTATION, HOCONUCO 062, #JJ4, CANOVANAS, PR 00729
(787) 372-3937
Mailing address
PO BOX 768, AIBONITO, PR 00705-0768
(787) 372-3937
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22411
PR
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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