Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 018954 | PR |
N | 208D00000X | General Practice Physician | 18954 | PR |
NPI | 1023302452 |
---|---|
Provider Name | Dr. Isabel Maria Rutzen-Lopez |
First Address | San Juan, PR 00926-5351 |
Second Address | San Juan, PR 00935 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2011 |
Last Update Date | 26/07/2018 |