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1417070285
ENRIQUETA VIVAS
CAROLINA, PR
NPI
1417070285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: PR 11547)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mrs. ENRIQUETA VIVAS MD
CORP FONDO DEL SEGURO DEL ESTADO PARQUE ESCORIAL
CAROLINA, PR 00987
Phone number: 787-757-6850
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Mailing Address
Mrs. ENRIQUETA VIVAS MD
PO BOX 503
LUQUILLO, PR 00773
Phone number: 787-752-7856
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