Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 17407 | PR |
N | 111NI0900X | Internist | 17407 | PR |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 17407 | PR |
N | 208D00000X | General Practice Physician | 17407 | PR |
NPI | 1053519439 |
---|---|
Provider Name | Jorge Alberto Rohena |
First Address | Canovanas, PR 00729-3533 |
Second Address | San Juan, PR 00926-6651 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 03/10/2012 |