Individual
EVELYN BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA #14 BO MACHUELOS, HOSP PSIQUIATRIA PONCE, PONCE, PR 00732
(787) 844-0101
Mailing address
PO BOX 765, URBANIZATION VILLA MADRID CALLE 15 W-5, COAMO, PR 00769
(787) 360-7034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
382
PR
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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