Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 18229 | PR |
NPI | 1003074121 |
---|---|
Provider Name | Tatiana M Fournier Sanchez |
First Address | Guaynabo, PR 00970-3451 |
Second Address | Moca, PR 00676-0000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 18/12/2021 |