Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 13102 | PR |
NPI | 1316955339 |
---|---|
Provider Name | Elivette Zambrana-Flores |
First Address | San Juan, PR 00933 |
Second Address | Caguas, PR 00976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 18/07/2017 |