Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 15243 | PR |
NPI | 1679542286 |
---|---|
Provider Name | Dr. Luisa Josefina Mujica |
First Address | San Juan, PR 00922-0156 |
Second Address | Rio Piedras, PR 00926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I02907 | (02) | PR |