Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 17447 | PR |
NPI | 1063673697 |
---|---|
Provider Name | Dr. Even Cedeno Cedeno |
First Address | Guayanilla, PR 00656-3758 |
Second Address | Guayanilla, PR 00656-3758 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 15/10/2012 |