Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 9422 | PR |
N | 207YP0228X | Pediatric Otolaryngology | 9422 | PR |
NPI | 1437119518 |
---|---|
Provider Name | Antonio Riera - March |
First Address | San Juan, PR 00936-8344 |
Second Address | San Juan, PR 00936-5067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 21/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
28001 | (02) | PR |
89362-OT | TRIPLE-S, INC. (01) | PR |