Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 19752 | PR |
NPI | 1003339995 |
---|---|
Provider Name | Dr. Carla R. Narvaez-Rosario |
First Address | Carolina, PR 00985-6032 |
Second Address | Carolina, PR 00985-6032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2017 |
Last Update Date | 25/07/2017 |