Individual
IDA LUZ VILLA PASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MENDEZ VIGO 410, SUITE 204, DORADO, PR 00646
(787) 796-1464
(787) 278-3338
Mailing address
VILLAS DE PLAYA I, URB DORADO DEL MAR APT N 1, DORADO, PR 00646
(787) 796-4523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9748
PR
Other
Enumeration date
03/15/2007
Last updated
09/07/2010
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