Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 236984 | NY |
Y | 2080P0210X | Pediatric Nephrologist | C10008466 | DE |
NPI | 1548289762 |
---|---|
Provider Name | Raquel Tapia |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 26/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0138541 | (05) | NJ |
02671745 | (05) | NY |
102030235 | (05) | PA |
413467200 | (05) | MD |
I38831 | (02) | NY |