Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 08613R | LA |
NPI | 1003838517 |
---|---|
Provider Name | Carmen Gladys Espinoza |
First Address | New Orleans, LA 70112-2865 |
Second Address | New Orleans, LA 70112-2865 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 19/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1910597 | (05) | LA |
D54070 | (02) |