Individual
DR. MARIEPROVI BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 CALLE SAN FRANCISCO, DORADO, PR 00646-2726
(787) 487-4163
Mailing address
75 CALLE SAN FRANCISCO, DORADO, PR 00646-2726
(787) 487-4163
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17677
PR
Other
Enumeration date
08/06/2009
Last updated
09/28/2010
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