Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 7009 | PR |
NPI | 1033175815 |
---|---|
Provider Name | Fausto Boria |
First Address | Caguas, PR 00726-0249 |
Second Address | Gurabo, PR 00778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 13/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
067158 | CRUZ AZUL DE PR (01) | |
18635 | PROSSAM (01) | |
223047 | PREFERRED HEALTH (01) | |
2604 | AMERICAN HEALTH (01) | |
27009 | CIGNA (01) | |
29028 | TRIPLE S (01) | |
600899 | MMM HEALTHCARE (01) | |
6240042 | HUMANA (01) | |
N241 | FIRST MEDICAL (01) | |
PE1680 | PALIC (01) |