Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 10806 | PR |
NPI | 1225095961 |
---|---|
Provider Name | Denise Rivera-Lugo |
First Address | San Juan, PR 00936-6928 |
Second Address | San Juan, PR 00912-3310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 08/07/2007 |