Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 18771 | PR |
N | 111NI0900X | Internist | 18771 | PR |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 18771 | PR |
N | 207RC0000X | Internist - Cardiovascular Disease | 18771 | PR |
NPI | 1487933784 |
---|---|
Provider Name | Gisela D Puig Carrion |
First Address | Carolina, PR 00979-9050 |
Second Address | San Juan, PR 00936 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2011 |
Last Update Date | 13/08/2020 |