Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 19635 | PR |
N | 111NI0900X | Internist | 19635 | PR |
Y | 207RH0003X | Hematology & Oncology | 19635 | PR |
NPI | 1063826543 |
---|---|
Provider Name | Adelba Torres-Lopez |
First Address | Carolina, PR 00979-4944 |
Second Address | San Juan, PR 00917 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2014 |
Last Update Date | 08/10/2021 |