Dr. Marieprovi Beauchamp, M.D.
General Practice in Dorado, PR. Individual provider (NPI-1).
NPI number1952532012
StatusActive
Last updated in NPPESSep 28, 2010
Details
- NPI
- 1952532012
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marieprovi Beauchamp
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2009
- Last updated
- Sep 28, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 17677 | PR | Yes |
Practice location
75 Calle San FranciscoDorado, PR 00646-2726
Phone 787-487-4163
Mailing address
75 Calle San FranciscoDorado, PR 00646-2726
Phone 787-487-4163
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