Individual
JULISSA LAURIE CIRILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
715 AVE PONCE DE LEON STOP 37.5, HATO REY, PR 00917-5032
(787) 758-2000
Mailing address
65 QUISQUEYA, 100 RENAISSANCE SQUARE 15102, SAN JUAN, PR 00917-1315
(939) 289-3222
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22917
PR
390200000X
Student in an Organized Health Care Education/Training Program
15727-I
PR
Other
Enumeration date
05/18/2021
Last updated
12/15/2022
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