Individual
GISELA RODRIGUEZ CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 2 BO COCOS KM99, QUEBRADILLAS, PR 00678-0001
(787) 895-6173
(787) 895-6173
Mailing address
PO BOX 432, BAJADERO, PR 00616-0432
(787) 505-8803
(787) 895-6173
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
6363
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6363
LIC
PR
Enumeration date
12/10/2013
Last updated
12/10/2013
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