Doctor Name: | VILMARY SIERRA |
NPI Number: | 1689609745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 15002 |
Business Practice Address: | Calle79 Blq 120-19 Urb.villa Carolina Carolina, PR - 00985 |
Business Phone Number: | 7872578188 |
Business Fax Number: | 7872578188 |
Mailing Address: | K27 Calle 16, Urb.metropolis CAROLINA |
State: | PR |
Postal Code: | 009877446 |
Phone Number: | 7876193636 |
Fax Number: | 7872578188 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |