Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 15732 | PR |
NPI | 1033216742 |
---|---|
Provider Name | Dr. Arturo Alejandro Nolasco Garrido |
First Address | Carolina, PR 00983-3345 |
Second Address | San Juan, PR 00935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 29/12/2020 |