Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 45138 | KY |
N | 111NI0900X | Internist | 45138 | KY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 45138 | KY |
N | 207RC0200X | Critical Care Medicine | 45138 | KY |
NPI | 1013127331 |
---|---|
Provider Name | Melina Tatiana Aguinaga Meza |
First Address | Cleveland, OH 44195-0200 |
Second Address | Cleveland, OH 44195-0200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 03/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100210590 | (05) | KY |