Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 17910 | PR |
N | 111NI0900X | Internist | 17910 | PR |
N | 207RC0000X | Internist - Cardiovascular Disease | 17910 | PR |
Y | 207RI0011X | Interventional Cardiology | 17910 | PR |
NPI | 1093966079 |
---|---|
Provider Name | Nelson Espinell-Gonzalez |
First Address | Manati, PR 00674-1040 |
Second Address | Manati, PR 00674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 28/07/2016 |