Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 00768 | PR |
NPI | 1306428297 |
---|---|
Provider Name | Dr. Orlando Figueroa Hernandez |
First Address | Patillas, PR 00723-1077 |
Second Address | Dorado, PR 00646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2021 |
Last Update Date | 01/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000768 | LICENSE (01) | PR |