Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 200694 | LA |
Y | 2080P0202X | Pediatric Cardiologist | MD.200694 | LA |
NPI | 1083885875 |
---|---|
Provider Name | Kamill R Del Toro |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70121-2406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2008 |
Last Update Date | 14/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08327248 | (05) | MS |
1069728 | (05) | LA |