Individual
DENNIS OMAR CARDONA CARDONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 2 KM 141.1 AVENIDA SEVERIANO CUEVAS, 18 CAIMITAL BAJO, AGUADILLA, PR 00603-0880
(939) 253-8039
Mailing address
HC 2 BOX 12467, MOCA, PR 00676-8264
(939) 253-8039
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22929
PR
390200000X
Student in an Organized Health Care Education/Training Program
15710-I
PR
Other
Enumeration date
02/03/2021
Last updated
09/14/2022
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