Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 16803 | PR |
NPI | 1023217775 |
---|---|
Provider Name | Dr. Ricardo Gabriel Colacioppo Saavedra |
First Address | Bayamon, PR 00959-5907 |
Second Address | San Juan, PR 00919 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 07/03/2011 |