Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | OS015513 | PA |
Y | 207WX0107X | Retina Specialist | OS015513 | PA |
NPI | 1013143726 |
---|---|
Provider Name | Dr. Hugo Manuel Linares |
First Address | Philadelphia, PA 19152-2029 |
Second Address | Philadelphia, PA 19152-2029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2009 |
Last Update Date | 08/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1026019240001 | (05) | PA |