Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 19996 | PR |
NPI | 1023469624 |
---|---|
Provider Name | Nilbeth Carolina Hurtado Guevara |
First Address | San Juan, PR 00918-1525 |
Second Address | San Juan, PR 00918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2016 |
Last Update Date | 22/08/2018 |