Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 00077 | PR |
NPI | 1013452143 |
---|---|
Provider Name | Ruvva Milian |
First Address | San Lorenzo, PR 00754-9972 |
Second Address | San Lorenzo, PR 00754 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2016 |
Last Update Date | 28/12/2016 |