Individual
VIRGEN SOCORRO DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA 185 KM 4.6 CANOVANAS PR 00729, 4.6 KM, CANOVANAS, PR 00729
(787) 453-9188
Mailing address
EE5 CALLE 23, CAGUAS, PR 00725-4091
(787) 453-9188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83254
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83254
RN
PR
Enumeration date
08/02/2022
Last updated
08/02/2022
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