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Individual

DR. MARILYN ALTAGRACIA PINEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MEDICAL DOCTOR

Contact information

Practice address
216 STREET HA-45, URB. COUNTRY CLUB, CAROLINA, PR 00982
(786) 374-1876
(787) 257-1577
Mailing address
216 STREET HA-45, URB. COUNTRY CLUB, CAROLINA, PR 00982
(786) 374-1876
(787) 257-1577

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16513
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16513
STATE LICENSE
PR
Enumeration date
09/27/2006
Last updated
07/08/2007
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