Ignacio Alfredo Anzola De Goiricelaya
Student in an Organized Health Care Education/Training Program in San Juan, PR. Individual provider (NPI-1).
NPI number1245021187
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1245021187
- Entity type
- Individual (NPI-1)
- Name
- Ignacio Alfredo Anzola De Goiricelaya
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2025
- Certification date
- May 12, 2025
- Last updated
- May 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
10 Calle CasiaSan Juan, PR 00921-3200
Phone 787-641-7582
Mailing address
J5 Ave San Patricio Apt 1006Guaynabo, PR 00968-4420
Phone 786-440-2665
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All 1,075 Student in an Organized Health Care Education/Training Program providers in San Juan · All 12,122 providers in San Juan
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