Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant |
NPI | 1083939417 |
---|---|
Provider Name | Soraya Delrosario |
First Address | Miami, FL 33193-3481 |
Second Address | Miami, FL 33156-7706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2010 |
Last Update Date | 29/03/2010 |