Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 11768 | PR |
Y | 213ES0000X | Sports Medicine | 11768 | PR |
NPI | 1346382421 |
---|---|
Provider Name | Selma Martinez Rojas |
First Address | San Juan, PR 00926-6013 |
Second Address | San Juan, PR 00928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 13/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G-41683 | (02) | PR |