Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 9670 | PR |
NPI | 1174589139 |
---|---|
Provider Name | Dr. Adanette Wiscovitch |
First Address | San Juan, PR 00926-7007 |
Second Address | Hato Rey, PR 00923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 08/07/2007 |