Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 7435 | PR |
NPI | 1154363034 |
---|---|
Provider Name | Dr. Maria-Del-Carmen Gonzalez-Rios |
First Address | San Juan, PR 00921-2016 |
Second Address | San Juan, PR 00921-2016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C79496 | (02) | PR |