Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 17194 | PR |
NPI | 1033372909 |
---|---|
Provider Name | Michelle M Hoyos Iglesias |
First Address | Mayaguez, PR 00682 |
Second Address | Mayaguez, PR 00682 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 18/07/2019 |