NPI 1003668096

Mariemma Lissette Domenech, MD

Practitioner Student in an Organized Health Care Education/Training Program Ponce, PR

Practice location

Address: 2213 Ponce Byp, Ponce, PR 00717-1310
Phone: (787) 840-8686
Mailing address: PO Box 250268, Aguadilla, PR 00604-0268

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Puerto Rico →

Registry record

NPI: 1003668096
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2024
Record last updated: 3 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.