Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A99601 | CA |
Y | 208200000X | Surgeon | A99601 | CA |
Y | 208600000X | Surgeon | A99601 | CA |
NPI | 1407970437 |
---|---|
Provider Name | Dr. Trina Pearl Steljes |
First Address | Mayaguez, PR 00681-3149 |
Second Address | Mayaguez, PR 00680-1509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 14/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A996010 | (05) | CA |
17770 | PUERTO RICO MEDICAL LICENSE (01) | PR |