Doctor Name: | DR. MARILYN LLAVONA |
NPI Number: | 1154586972 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 17207 |
Business Practice Address: | 6 Calle San Jose E Aibonito, PR - 007053529 |
Business Phone Number: | 9392457645 |
Business Fax Number: | |
Mailing Address: | Po Box 671, Calle San Jose # 6 AIBONITO |
State: | PR |
Postal Code: | 007050671 |
Phone Number: | 9392457645 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2008 |
NPI Last Update Date: | 07/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17207 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |