Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 10735 | PR |
N | 2080P0216X | Pediatric Rheumatologist | 20830 | OK |
NPI | 1750312229 |
---|---|
Provider Name | Dr. Ana I Quintero-Del-Rio |
First Address | San Juan, PR 00906-6312 |
Second Address | Santurce, PR 00912-3207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H00056 | (02) |