Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 11979 | PR |
NPI | 1023021664 |
---|---|
Provider Name | Dr. Hortensia Perez-Cuevas |
First Address | San Juan, PR 00926-6604 |
Second Address | San Juan, PR 00926-6604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 31/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060563 | CRUZ AZUL (01) | PR |
1674 | FIRST MEDICAL (01) | PR |
500465E | MMM (01) | PR |
88972 | TRIPLE S (01) | PR |
G37247 | (02) | PR |