Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 8559 | PR |
NPI | 1023214640 |
---|---|
Provider Name | Dr. Claudia Lorenzo-Perez |
First Address | Guaynabo, PR 00971-8003 |
Second Address | Ave. Monserrate, PR 00985 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 29/09/2011 |