Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 12068 I | PR |
NPI | 1023266152 |
---|---|
Provider Name | Maritere Hernandez Almodovar |
First Address | San Juan, PR 00922-2116 |
Second Address | San Juan, PR 00922-2116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2008 |
Last Update Date | 03/09/2008 |