Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 21349 | PR |
Y | 111NI0900X | Internist | 21349 | PR |
NPI | 1003268715 |
---|---|
Provider Name | Onix Cesar Garib |
First Address | Bayamon, PR 00956-4816 |
Second Address | San Jaun, PR 00921 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2016 |
Last Update Date | 14/07/2020 |