Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 19799 | PR |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 51836 | SC |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 51836 | SC |
NPI | 1033258736 |
---|---|
Provider Name | Dr. Ashwin V. Deshmukh |
First Address | Mayaguez, PR 00681-0740 |
Second Address | Mayaguez, PR 00680-1509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 17/03/2018 |