Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 225132 | MA |
N | 208600000X | Surgeon | 225132 | MA |
Y | 2086S0102X | Surgical Critical Care | 13511 | PR |
NPI | 1215036520 |
---|---|
Provider Name | Mariluz Rivera-Hernandez |
First Address | San Juan, PR 00926 |
Second Address | San Juan, PR 00921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 18/01/2017 |