Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 18509 | PR |
Y | 207VX0000X | Obstetrician | 18509 | PR |
N | 208D00000X | General Practice Physician | 13023I | PR |
N | 208D00000X | General Practice Physician | 18509 | PR |
NPI | 1346502614 |
---|---|
Provider Name | Lorna Malpica Torres |
First Address | Vega Alta, PR 00692 |
Second Address | Barceloneta, PR 00617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 17/03/2018 |