Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0131X | Foot Surgery | 0077 | PR |
Y | 213ES0131X | Foot Surgery | 77 | PR |
NPI | 1326008426 |
---|---|
Provider Name | Waleska M Donato |
First Address | Mayaguez, PR 00680-1504 |
Second Address | Mayaguez, PR 00680 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 19/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U49838 | (02) |