Individual
ISAMARIS MORENO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3201
(787) 641-7582
Mailing address
PO BOX 72, VEGA BAJA, PR 00694-0072
(787) 433-6019
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/20/2021
Last updated
11/20/2021
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