Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 11117 | PR |
NPI | 1285763144 |
---|---|
Provider Name | Dr. Alberto Santiago Cornier |
First Address | Mayaguez, PR 00681-0087 |
Second Address | Santurce, PR 00912-0000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 08/07/2007 |