Individual provider · NPI-1

Enrique R Bursian

Student in an Organized Health Care Education/Training Program · Guaynabo, PR

NPI number1710228994

StatusActive

Last updated in NPPESMar 12, 2013

Details

NPI: 1710228994
Entity type: Individual (NPI-1)
Name: Enrique R Bursian
Sex: Male
Sole proprietor: Yes
Enumeration date: Mar 12, 2013
Last updated: Mar 12, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes

Practice location

O34 Calle California
Urb. Parkville
Guaynabo, PR 00969-3901

Phone 321-537-4086

Mailing address

O34 Calle California
Urb. Parkville
Guaynabo, PR 00969-3901

Phone 321-537-4086

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