Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | ME101154 | FL |
NPI | 1477691798 |
---|---|
Provider Name | Jennifer Rodriguez-Ferrer |
First Address | San German, PR 00683 |
Second Address | San German, PR 00683 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 06/02/2015 |