Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 5913 | PR |
Y | 208D00000X | General Practice Physician | 5913 | PR |
NPI | 1376736710 |
---|---|
Provider Name | Dr. Frank Vieras Alejandro |
First Address | Guaynabo, PR 00966-3744 |
Second Address | Guaynabo, PR 00966-3744 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 20/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0087953 | MEDICARE (01) | PR |
87953 | TRIPLE S INC (01) | PR |
F05927 | (02) |