Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 18268 | PR |
NPI | 1013166586 |
---|---|
Provider Name | Marian Couto |
First Address | Ponce, PR 00717-1379 |
Second Address | Ponce, PR 00717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2008 |
Last Update Date | 16/03/2021 |