Individual
PAMELA MARIE MEDINA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE 12 CENTRO GUBERNAMENTAL #12 SUITE 203, UTUADO, PR 00641-2225
(787) 833-0663
Mailing address
PO BOX 607087, BAYAMON, PR 00960-7087
(787) 833-0663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96609
PR
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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