Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 4613 | PR |
NPI | 1023096039 |
---|---|
Provider Name | Miss Carmen E Sanchez |
First Address | Ponce, PR 00717-0727 |
Second Address | Ponce, PR 00732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 08/07/2007 |