Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 21760 | PR |
NPI | 1003261280 |
---|---|
Provider Name | Rocio Marie Cardona Munoz |
First Address | San Juan, PR 00918-4090 |
Second Address | Carolina, PR 00982-2778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2016 |
Last Update Date | 21/07/2020 |