Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | 13,611 | PR |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 13,611 | PR |
NPI | 1598773970 |
---|---|
Provider Name | Jorge A. Aldrich |
First Address | Guaynabo, PR 00968-0000 |
Second Address | Guaynabo, PR 00968 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 08/07/2007 |