Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 9546 | PR |
NPI | 1033262555 |
---|---|
Provider Name | Dr. Edgardo F Cartagena Ayala |
First Address | San Juan, PR 00926 |
Second Address | San Juan, PR 00923-0000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 07/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G41612 | (02) | PR |