Individual
KASANDRA VIERA DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
PO BOX 9000, 273, CAYEY, PR 00737-9000
(787) 247-4366
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
32747
PR
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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