Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 5977 | PR |
NPI | 1356388003 |
---|---|
Provider Name | Miss Maritza Salgado Mitchell |
First Address | Bayamon, PR 00959 |
Second Address | San Turce, PR 00912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 08/07/2007 |