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Mariemma Lissette Domenech, MD
Student in an Organized Health Care Education/Training Program in Ponce, N/A
NPI 1003668096

Mariemma Lissette Domenech is a Student in an Organized Health Care Education/Training Program based in Aguadilla, . Mariemma Lissette Domenech practices in Ponce, and has the professional credentials of MD. The NPI Number for Mariemma Lissette Domenech is 1003668096 and holds a License No. (N/A).

The current practice location address for Mariemma Lissette Domenech is 2213 Ponce Byp, Ponce, and can be reached out via phone at 787-840-8686.

Location: 2213 Ponce Byp, Ponce, , 00604-0268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003668096
Provider Name
Mariemma Lissette Domenech
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2213 Ponce Byp, Ponce, , 00604-0268
Phone Number
787-840-8686
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2213 Ponce Byp
City
Ponce
State
Zip
00717-1310
Phone Number
787-840-8686
Fax Number
person
Provider Business Mailing Address Details
Address
2213 Ponce Byp
City
Ponce
State
Zip
00717-1310
Phone Number
787-840-8686
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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