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Calle Sergio Pena Almodovar 103 Humacao PR 00791-3655 | |
| (787) 362-4175 | |
| (787) 767-0210 |
| Full Name | |
|---|---|
| Speciality | Occupational Therapist |
| Location | Calle Sergio Pena Almodovar 103, Humacao, Puerto Rico |
| Authorized Official Name and Position | Ivonne Yamil Rodriguez Ramos (PROVIDER) |
| Authorized Official Contact | 7873624175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
570 Urb Ext Villas De Buena Ventura Yabucoa PR 00767-0000 Ph: (787) 362-4175 | Calle Sergio Pena Almodovar 103 Humacao PR 00791-3655 Ph: (787) 362-4175 |
| NPI Number | 1932712247 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 05/20/2022 |
| Certification Date | 05/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932712247 | NPI | - | NPPES |
| 1265789861 | Other | PR | NPI |
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