Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 464612993 | ZZ |
Y | 207VE0102X | Reproductive Endocrinologist | 464612993 | ZZ |
NPI | 1275024556 |
---|---|
Provider Name | Carlos Antonio Simon |
First Address | El Puig De Santamaria, VALENCIA 46540 |
Second Address | Paterna, VALENCIA 46980 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2018 |
Last Update Date | 23/05/2018 |