Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 11970 | PR |
NPI | 1104965664 |
---|---|
Provider Name | Mrs. Maria E. Carrascal |
First Address | Catano, PR 00962 |
Second Address | Catano, PR 00962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 08/07/2007 |