Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME144939 | FL |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME144939 | FL |
NPI | 1548503691 |
---|---|
Provider Name | Isabel Cristina Prieto |
First Address | Tampa, FL 33613-6600 |
Second Address | Tampa, FL 33613-6600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 01/10/2020 |