Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 9838 | PR |
NPI | 1013959154 |
---|---|
Provider Name | Dr. Milagros Teresa Gerena-Quiles |
First Address | Gurabo, PR 00778-8824 |
Second Address | Gurabo, PR 00778-8824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 10/11/2016 |