Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 13093 | PR |
NPI | 1053447847 |
---|---|
Provider Name | Dr. Nabal Jose Bracero |
First Address | Guaynabo, PR 00971-8002 |
Second Address | San Juan, PR 00918-3756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 08/07/2007 |