Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 9960 | PR |
NPI | 1427082049 |
---|---|
Provider Name | Dr. Irma L. Molina-Vicenty |
First Address | San Juan, PR 00926-7112 |
Second Address | San Juan, PR 00920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 20/12/2016 |