Doctor Name: | DR. HILDA VIOLETA MUJICA |
NPI Number: | 1912062548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 9436 |
Business Practice Address: | 83 Calle Munoz Rivera Canovanas, PR - 007293217 |
Business Phone Number: | 7878765266 |
Business Fax Number: | 7872561775 |
Mailing Address: | Po Box 525, Lirio St. 211 Ciudad Jardin Carolina Pr 00987 CANOVANAS |
State: | PR |
Postal Code: | 007290525 |
Phone Number: | 7872571164 |
Fax Number: | 7872561775 |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 05/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 9436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |