Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 12288 | PR |
NPI | 1043203755 |
---|---|
Provider Name | Leslie Hoy |
First Address | Bayamon, PR 00961-6910 |
Second Address | Bayamon, PR 00961-6910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G70158 | (02) | PR |