Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 11880 | PR |
NPI | 1801945522 |
---|---|
Provider Name | Dr. Jannisse Pagan Cardona |
First Address | Carolina, PR 00987-7616 |
Second Address | Bayamon, PR 00959-7279 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 30/03/2010 |