Individual
MRS. MAYRA IRIZARRY RODRIGUEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
JOSE MERCADO, TOMAS JEFF U35, CAGUAS, PR 00725-0000
(787) 914-0417
Mailing address
JOSE MERCADO, TOMAS JEFF U35, CAGUAS, PR 00725-0000
(787) 914-0417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1060
PR
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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