Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 19707 | PR |
NPI | 1023443983 |
---|---|
Provider Name | Paula Veronica Jeffs-Gonzalez |
First Address | Rio Piedras, PR 00921 |
Second Address | Trujillo Alto, PR 00976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2013 |
Last Update Date | 08/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
19707 | MEDICAL LICENSE (01) | PR |