Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 10330 | PR |
NPI | 1063498863 |
---|---|
Provider Name | Dr. Vylma Velazquez Almodovar |
First Address | Ponce, PR 00717 |
Second Address | Ponce, PR 00717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 13/09/2010 |