IDAMARIS ALICEA

LARES, PR
NPI1609896281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: PR  16087)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- IDAMARIS ALICEA M.D.
CARR. 111 KM 22.2
LARES, PR 00669
Phone number: 787-897-6802
Mailing Address
-- IDAMARIS ALICEA M.D.
PO BOX 211
LARES, PR 00669-0211
Phone number: 787-897-6802
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