Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 8790 | PR |
NPI | 1053401570 |
---|---|
Provider Name | Dr. Marta Rios-Benitez |
First Address | Ponce, PR 00717 |
Second Address | Ponce, PR 00717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 28/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G16503 | (02) | PR |