Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 16891 | PR |
N | 207XS0117X | Orthopaedic Spine Surgeon | ME104420 | FL |
NPI | 1245437441 |
---|---|
Provider Name | Dr. Jose M. Massanet-Vollrath |
First Address | San Juan, PR 00926-4663 |
Second Address | Bayamon, PR 00959-5041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 24/01/2011 |