Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 4703 | PR |
NPI | 1093783441 |
---|---|
Provider Name | Dr. Olga M. Billoch De Joglar |
First Address | San Juan, PR 00929-0134 |
Second Address | San Juan, PR 00921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 09/09/2016 |