Individual
BLANCA MARIE IRIZARRY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CENTRO PROFESIONAL DEL SUR, 1100 CARR 116 STE 2, YAUCO, PR 00698-4693
(939) 992-9322
(939) 992-9326
Mailing address
PO BOX 2496, SAN GERMAN, PR 00683-2496
(939) 992-9322
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22489
PR
Other
Enumeration date
08/16/2021
Last updated
08/13/2024
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