Individual
DR. JOANN ALYSSA PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
URB. EL ROSARIO II, CALLE 5 R-16, VEGA BAJA, PR 00693
(939) 969-8743
Mailing address
URB. EL ROSARIO II, CALLE 5 R-16, VEGA BAJA, PR 00693
(939) 969-8743
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17326
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17326
STATE LICENSE
PR
Enumeration date
09/04/2008
Last updated
09/04/2008
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