Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 14455 | PR |
NPI | 1003956004 |
---|---|
Provider Name | Brendaliz Cabrera |
First Address | Trujillo Alto, PR 00976 |
Second Address | San Juan, PR 00925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 19/08/2016 |