Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD16153 | RI |
N | 2084N0402X | Child Neurologist | R3140 | KY |
NPI | 1336581347 |
---|---|
Provider Name | Ana Cristina Albuja Ponce |
First Address | Providence, RI 02905-4513 |
Second Address | Providence, RI 02903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2013 |
Last Update Date | 01/06/2018 |