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Individual

MRS. OLIVA E BENMAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
525 ROOSEVELT AVE, LA TORRE DE PLAZA SUITE 801, SAN JUAN, PR 00918
(787) 281-0784
(787) 764-9482
Mailing address
PO BOX 11321, CAPARRA HEIGHTS, SAN JUAN, PR 00922
(787) 281-0784
(787) 764-9482

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7309
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28662
TS
PR
Enumeration date
12/11/2006
Last updated
07/08/2007
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