Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 4317264 | PR |
NPI | 1609077098 |
---|---|
Provider Name | Nilka Cordero Rivera |
First Address | Caguas, PR 00778 |
Second Address | Caguas, PR 00725-3310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 08/07/2007 |