Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 15519I | PR |
NPI | 1033703004 |
---|---|
Provider Name | Dr. Sherly Anne Nevarez Martinez |
First Address | Morovis, PR 00687-3750 |
Second Address | Morovis, PR 00687-3750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2021 |
Last Update Date | 02/03/2021 |