Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 002660 | CT |
NPI | 1003995440 |
---|---|
Provider Name | Dr. Jennifer Marie Alsina Cardona |
First Address | San Juan, PR 00926-5539 |
Second Address | San Juan, PR 00926-5539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2006 |
Last Update Date | 18/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
260060 | CONNECTICARE (01) | CT |