Individual provider · Type 1 NPI

Mariemma Lissette Domenech, MD

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

NPI number 1003668096 Active

Practice location

2213 Ponce Byp
Ponce, PR 00717-1310

Call (787) 840-8686 Map

Mailing address

PO Box 250268
Aguadilla, PR 00604-0268

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1003668096

Mariemma Lissette Domenech, MD's National Provider Identifier is 1003668096, issued on Apr 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ponce, PR. The record was last updated on Apr 3, 2024.