Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 17177 | PR |
NPI | 1023271061 |
---|---|
Provider Name | Dr. Marta Pilar Suarez - Rivera |
First Address | San Juan, PR 00929-0134 |
Second Address | San Juan, PR 00912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 21/03/2013 |