Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 16247 | PR |
NPI | 1013111574 |
---|---|
Provider Name | Dr. Nyurka Y Rosado Aponte |
First Address | Comerio, PR 00782-9704 |
Second Address | Comerio, PR 00782-9704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 20/08/2020 |