Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 18225 | PR |
NPI | 1033404355 |
---|---|
Provider Name | Dr. Cesar Omar Monsalve Rizo |
First Address | San Juan, PR 00926 |
Second Address | San Juan, PR 00926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2011 |
Last Update Date | 27/02/2012 |