Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 5326 | PR |
NPI | 1346298775 |
---|---|
Provider Name | Jesus Manuel Alvarez Ruiz |
First Address | Caguas, PR 00726-7375 |
Second Address | Caguas, PR 00725-5844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 30/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6610095 | HUMANA (01) | PR |
C 77411 | (02) | PR |