Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 100 | PR |
NPI | 1164410676 |
---|---|
Provider Name | Dr. Jorge E Garcia Ferreras |
First Address | Guaynabo, PR 00966-2717 |
Second Address | San Juan, PR 00926-7007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 17/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U8993 | (02) | PR |