Healthcare Provider Details
I. General information
NPI: 1912909755
Provider Name (Legal Business Name): MARIA T CURET SALIM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 08/11/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
G9 CALLE GENOVA 5TA EXT VILLA CAPARRA
GUAYNABO PR
00966-1730
US
IV. Provider business mailing address
G9 CALLE GENOVA 5TA EXT VILLA CAPARRA
GUAYNABO PR
00966-1730
US
V. Phone/Fax
- Phone: 787-782-2265
- Fax: 787-767-0685
- Phone: 787-782-2265
- Fax: 787-767-0685
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 12914 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: