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Individual

NIZETTE I CORDERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
CARR. 129 KM 13.6, BO. BAYANEY, HATILLO, PR 00659-0000
(787) 898-5885
(787) 898-5885
Mailing address
REPARTO MARQUEZ, CALLE 9 G-26, ARECIBO, PR 00612-0000
(787) 898-5885
(787) 898-5885

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
871
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
89222
TRIPLE-S (REFORMA)
PR
Enumeration date
07/09/2005
Last updated
12/15/2007
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