Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 235493 | MA |
N | 208600000X | Surgeon | 235493 | MA |
Y | 2086X0206X | Surgical Oncologist | 235493 | MA |
NPI | 1124280904 |
---|---|
Provider Name | Sonia Ortiz-Pagan |
First Address | Juncos, PR 00777-1330 |
Second Address | Cayey, PR 00736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2008 |
Last Update Date | 28/02/2013 |