Most Relevant Information
Provider Data
| NPI Number: | 1003654690 |
| Provider Name: | MORIALYS RODRIGUEZ CANABAL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2024 |
| Last Updated: | 07/17/2024 |
Provider Practice Location
KM 11.7 PR-2
BAYAMON
PR
00959
Practice Location Phone/Fax
| Phone: | 7876208181 |
| Fax: |
Provider Mailing Location
4978 AVE MILITAR
ISABELA
PR
006624163
Provider Mailing Phone/Fax
| Phone: | 7874259683 |
| Fax: |