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Individual

IVAN PALACIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 CALLE CERRA, SAN JUAN, PR 00907-5104
(787) 604-4244
Mailing address
BOX 1744, JUNCOS, PR 00777
(787) 604-4244

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14223
PR

Other

Enumeration date
05/10/2006
Last updated
09/10/2008
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