Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 18534 | PR |
NPI | 1013140292 |
---|---|
Provider Name | Ileana Eileen Ocasio Melendez |
First Address | Caguas, PR 00727-7312 |
Second Address | Dorado, PR 00646-6706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2009 |
Last Update Date | 23/12/2014 |