Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 4865 | PR |
NPI | 1033159967 |
---|---|
Provider Name | Dr. Zelideh Cordova-Velazco |
First Address | Toa Alta, PR 00949 |
Second Address | Toa Alta, PR 00949 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 04/03/2016 |