Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 21077 | PR |
N | 2080P0214X | Pediatric Pulmonologist | 21077 | PR |
N | 2080P0214X | Pediatric Pulmonologist | 63210 | CT |
NPI | 1467707570 |
---|---|
Provider Name | Dr. David Enrique De Angel Sola |
First Address | New Haven, CT 06510-3220 |
Second Address | San Juan, PR 00921-3200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2012 |
Last Update Date | 25/11/2019 |