Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 9343 | PR |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 9343 | PR |
NPI | 1790844348 |
---|---|
Provider Name | Jose M Bird |
First Address | San Juan, PR 00917-5030 |
Second Address | San Juan, PR 00917-5030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 24/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E04131 | (02) |