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1649426255
WILDALIS ROVIRA
MAYAGUEZ, PR
NPI
1649426255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 17176)
Enumeration Date
2008-08-14
Last Update Date
2011-03-25
Business Address
WILDALIS ROVIRA MD
#15 DR. BASORA ST. HOSPITAL PEREA
MAYAGUEZ, PR 00680
Phone number: 787-834-0101
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Mailing Address
WILDALIS ROVIRA MD
PO BOX 601
MAYAGUEZ, PR 00681-0601
Phone number: 787-439-7259
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