Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 0321 | PR |
NPI | 1790737260 |
---|---|
Provider Name | Dr. Ramon Antonio Borrero Mc.cormick |
First Address | Ponce, PR 00730-2919 |
Second Address | Ponce, PR 00717-1554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 15/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35048 | (02) | PR |