Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 7438 | PR |
N | 111NI0900X | Internist | 7438 | PR |
Y | 207U00000X | Nuclear Medicine Specialist | 7438 | PR |
NPI | 1114993912 |
---|---|
Provider Name | Dr. Elba A Orduna Acum |
First Address | Guaynabo, PR 00969 |
Second Address | Manati, PR 00674 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 05/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D99621 | (02) | PR |