Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 11325 | PR |
NPI | 1326166448 |
---|---|
Provider Name | Dr. Maria Ines Palou |
First Address | Las Piedras, PR 00771-3063 |
Second Address | Las Piedras, PR 00771-3063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 08/07/2007 |