Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 3019 | PR |
Y | 103T00000X | Psychologist | 3019 | PR |
NPI | 1003094673 |
---|---|
Provider Name | Dr. Davidia Padin |
First Address | Arecibo, PR 00612-9018 |
Second Address | Arecibo, PR 00612-9018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2008 |
Last Update Date | 06/02/2008 |