Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4304 | PR |
N | 2080P0208X | Pediatric Infectious Diseases | 4304 | PR |
NPI | 1639241961 |
---|---|
Provider Name | Miss Rosa Maria Delgado Ayala |
First Address | Humacao, PR 00791-3704 |
Second Address | Ponce, PR 00731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
83488 D-E | SSS (01) | PR |