Individual
MRS. IRMA PONCE DE LEON ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 MATTEI LLUBERAS, SUITE 1, YAUCO, PR 00698
(787) 856-5272
(787) 856-8421
Mailing address
42 MATTEI LLUBERAS, SUITE 1, YAUCO, PR 00698
(787) 856-5272
(787) 856-8421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0731
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084104
REFORMA
PR
Enumeration date
04/19/2007
Last updated
01/07/2015
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