Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 12080034 | PR |
NPI | 1083225692 |
---|---|
Provider Name | Diana Maria Soler |
First Address | Caguas, PR 00727-1424 |
Second Address | Caguas, PR 00727-1424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2020 |
Last Update Date | 17/08/2020 |