Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 019580 | PR |
NPI | 1043537145 |
---|---|
Provider Name | Dr. Daniela M Carlos Pons |
First Address | San Juan, PR 00907 |
Second Address | Caguas, PR 00725-6184 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2010 |
Last Update Date | 23/10/2017 |