Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 438 | PR |
NPI | 1033287230 |
---|---|
Provider Name | Dr. Noel Molini |
First Address | Humacao, PR 00791-3745 |
Second Address | Humacao, PR 00791-3745 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 08/07/2007 |