Provider Demographics
NPI:1215139522
Name:ODRIOZOLA, MARIA DEL CARMEN I (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DEL CARMEN
Last Name:ODRIOZOLA
Suffix:I
Gender:F
Credentials:MD
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Mailing Address - Street 1:B17 CALLE SAN IGNACIO
Mailing Address - Street 2:SAN PEDRO ESTATES
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-7609
Mailing Address - Country:US
Mailing Address - Phone:787-396-7018
Mailing Address - Fax:787-286-1812
Practice Address - Street 1:B17 CALLE SAN IGNACIO
Practice Address - Street 2:SAN PEDRO ESTATES
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-7609
Practice Address - Country:US
Practice Address - Phone:787-396-7018
Practice Address - Fax:787-286-1812
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2014-11-05
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Provider Licenses
StateLicense IDTaxonomies
PR7889208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics