Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 17527 | PR |
NPI | 1013185297 |
---|---|
Provider Name | Raul Mario Llinas |
First Address | Anasco, PR 00610-2093 |
Second Address | Anasco, PR 00610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2008 |
Last Update Date | 06/01/2011 |