Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 804 | PR |
NPI | 1659348720 |
---|---|
Provider Name | Mrs. Yazmin Quijano |
First Address | Arecibo, PR 00614-0699 |
Second Address | Arecibo, PR 00612-0699 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 08/07/2007 |