Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 9476 | PR |
NPI | 1013086743 |
---|---|
Provider Name | Dr. Lourdes M Del Campo |
First Address | Toa Alta, PR 00953 |
Second Address | Toa Alta, PR 00953 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 08/07/2007 |