Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 009929 | PR |
NPI | 1235348947 |
---|---|
Provider Name | Dr. Hilton T. Perez Armendariz |
First Address | Ponce, PR 00716-2743 |
Second Address | Ponce, PR 00716-2743 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BP4166802 | DEA NUMBER (01) | PR |
G39212 | (02) | PR |