Individual
MRS. MARILYN AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 2 KM 81.5, BO CARRIZALES, HATILLO, PR 00659
(787) 915-3000
Mailing address
PO BOX 140053, ARECIBO, PR 00614-0053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2630651
DRIVERS LICENSE
PR
Enumeration date
12/10/2018
Last updated
12/10/2018
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