Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 17199 | PR |
NPI | 1043406614 |
---|---|
Provider Name | Biomaris Medina-Rivera |
First Address | Guaynabo, PR 00966 |
Second Address | Cayey, PR 00737-2800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2007 |
Last Update Date | 07/02/2022 |