Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 18250 | PR |
Y | 2080P0210X | Pediatric Nephrologist | 18250 | PR |
NPI | 1205076247 |
---|---|
Provider Name | Dr. Janice Crespo - Salgado |
First Address | San Juan, PR 00929-0134 |
Second Address | Rio Piedras, PR 00921-2213 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2009 |
Last Update Date | 19/10/2015 |