Most Relevant Information
Provider Data
| NPI Number: | 1003027095 |
| Provider Name: | MAYRA IVETTE TIRADO ENFERMERA |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: | 4448 |
Most Important Dates
| Enumeration Date: | 05/24/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
DIANA 3 CARRETERA 183
A-17 SANTA ROSA
CAGUAS
PR
007250725
Practice Location Phone/Fax
| Phone: | 7876477158 |
| Fax: | 7877452165 |
Provider Mailing Location
DIANA 3 CARRETERA 183
A-17 SANTA ROSA
CAGUAS
PR
007250725
Provider Mailing Phone/Fax
| Phone: | 7876477158 |
| Fax: | 7877452165 |