Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | 16921 | PR |
NPI | 1447458765 |
---|---|
Provider Name | Dr. Adisbeth Morales Burgos |
First Address | Guaynabo, PR 00969-4595 |
Second Address | Hato Rey, PR 00917-5022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2007 |
Last Update Date | 10/10/2016 |