Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 19674 | PR |
Y | 2080P0210X | Pediatric Nephrologist | 19674 | PR |
NPI | 1669881959 |
---|---|
Provider Name | Auda Plaud Gonzalez |
First Address | Carolina, PR 00982-2634 |
Second Address | San Juan, PR 00917-5025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2014 |
Last Update Date | 21/09/2021 |