Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1409 | PR |
NPI | 1003114299 |
---|---|
Provider Name | Maria V Romero Martinez |
First Address | San Juan, PR 00929-0676 |
Second Address | Carolina, PR 00983 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2011 |
Last Update Date | 26/08/2011 |