Individual
MARIELLE BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
HC 3 BOX 5070, ADJUNTAS, PR 00601-9325
(787) 980-7095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37273
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/26/2021
Last updated
08/08/2024
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