Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 62 | PR |
NPI | 1154089456 |
---|---|
Provider Name | Eddie R Sanchez Rivera |
First Address | Aibonito, PR 00705-0277 |
Second Address | Aibonito, PR 00705-0277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2021 |
Last Update Date | 03/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7873819663 | 7873819663 (01) | PR |