Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 7265 | PR |
NPI | 1033223623 |
---|---|
Provider Name | Dr. Gerty Jones |
First Address | Guaynabo, PR 00968-3406 |
Second Address | Manati, PR 00674-4843 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 09/09/2016 |