Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 249 | PR |
NPI | 1265528137 |
---|---|
Provider Name | Dr. Ernest Louis Loveland |
First Address | San Juan, PR 00913-4730 |
Second Address | San Juan, PR 00913-4730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/07/2007 |