Individual
MAYRA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATO
Contact information
Practice address
PEDIATRIC UNIVERSITY HOSPITAL THIRD FLOOR C, MEDICAL CENTER, SAN JUAN, PR 00936
(787) 777-3535
(787) 764-7004
Mailing address
HC 03 BOX 40594, CAGUAS, PR 00725
(787) 736-0937
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
443
PR
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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