Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 13276 | PR |
NPI | 1013988815 |
---|---|
Provider Name | Dr. Raul G Vila Ramirez |
First Address | San Juan, PR 00917-5022 |
Second Address | San Juan, PR 00917-5022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 27/04/2016 |