Individual
BIANCA MICHELLE GOYCO CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23167
PR
208D00000X
General Practice Physician
35717
PR
208D00000X
General Practice Physician
35913
PR
Other
Enumeration date
07/27/2018
Last updated
04/28/2023
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