Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 18881 | PR |
NPI | 1134485832 |
---|---|
Provider Name | Orlando Canizares Rosario |
First Address | San Juan, PR 00926-4330 |
Second Address | San Juan, PR 00918-2103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2012 |
Last Update Date | 04/08/2015 |