Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 10054 | PR |
NPI | 1528277290 |
---|---|
Provider Name | Dr. Rene Antonio Fernandez-Pelegrina |
First Address | San Juan, PR 00923-3003 |
Second Address | San Juan, PR 00923-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |