Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 9950 | PR |
NPI | 1114122207 |
---|---|
Provider Name | Dr. David John Calvesbert |
First Address | Guaynabo, PR 00966-2009 |
Second Address | Guaynabo, PR 00966-2009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 08/07/2007 |