Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 17251 | PR |
NPI | 1003062852 |
---|---|
Provider Name | Dr. Miguel Angel Rios Sola |
First Address | Caguas, PR 00725-7546 |
Second Address | Caguas, PR 00725-7546 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2008 |
Last Update Date | 20/10/2010 |