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1649770553
MICHAEL WALLACE MARTINEZ RODRIGUEZ
JUANA DIAZ, PR
NPI
1649770553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 19848)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
Dr. MICHAEL WALLACE MARTINEZ RODRIGUEZ
COLINAS DEL PRADO 57 CALLE REY CARLOS
JUANA DIAZ, PR 00795
Phone number: 939-325-7523
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Mailing Address
Dr. MICHAEL WALLACE MARTINEZ RODRIGUEZ
HC 3 BOX 11885
JUANA DIAZ, PR 00795-9579
Phone number: 939-325-7523
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