Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 13418 | PR |
NPI | 1023136801 |
---|---|
Provider Name | Mirelis M Fabian Argueta |
First Address | Caguas, PR 00725 |
Second Address | Cayey, PR 00737-2800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 03/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H68064 | (02) | PR |