Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 18728 | PR |
NPI | 1023262110 |
---|---|
Provider Name | Cristy Gianna Martinez-Lopez |
First Address | San Juan, PR 00907 |
Second Address | San Juan, PR 00907-2535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2008 |
Last Update Date | 16/03/2015 |