Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 6135 | PR |
NPI | 1013916741 |
---|---|
Provider Name | Mrs. Leticia Dolz Sanchez |
First Address | Aguas Buenas, PR 00703-9620 |
Second Address | Aguas Buenas, PR 00703-9620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08533 | (02) |