Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 16312 | PR |
N | 111NI0900X | Internist | 16312 | PR |
N | 207RG0300X | Geriatric Medicine | 16312 | PR |
Y | 207RR0500X | Rheumatology | 16312 | PR |
NPI | 1003947540 |
---|---|
Provider Name | Dr. Ricardo A Infante |
First Address | San Juan, PR 00918 |
Second Address | San Juan, PR 00918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 15/10/2010 |