Individual
LOURDES M CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HOSP PSIQUIATRIA DR RAMON FERNANDEZ MARINA, SAN JUAN, PR 00922
(787) 766-4646
Mailing address
HACIENDA LAS GARZAS, CALLE PARAISO 66, RIO GRANDE, PR 00745
(787) 888-9589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0467
PR
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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