Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 186478459 | MA |
NPI | 1588292908 |
---|---|
Provider Name | Dr. Jose Hinojosa |
First Address | New Bedford, MA 02744-2005 |
Second Address | Fall River, MA 02723-1026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2020 |
Last Update Date | 31/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
366523339 | ID (01) | NY |