Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0101252061 | VA |
Y | 111NI0900X | Internist | 0101252061 | VA |
NPI | 1003064270 |
---|---|
Provider Name | Dr. Alvaro Andres Puig Rodriguez |
First Address | Miami, FL 33136-1005 |
Second Address | Arlington, VA 22205-3686 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2008 |
Last Update Date | 28/03/2018 |