Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | 0605 | PR |
NPI | 1134665060 |
---|---|
Provider Name | Maria Eugenia Leon |
First Address | Carolina, PR 00983-1455 |
Second Address | San Juan, PR 00920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2017 |
Last Update Date | 17/01/2017 |