Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 19897 | PR |
Y | 2084N0402X | Child Neurologist | 19897 | PR |
NPI | 1013399138 |
---|---|
Provider Name | Natalia L Rodriguez Vazquez |
First Address | San Juan, PR 00907-2832 |
Second Address | Caguas, PR 00725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2015 |
Last Update Date | 23/11/2021 |