Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 7818 | PR |
NPI | 1194801522 |
---|---|
Provider Name | William De La Paz |
First Address | San Juan, PR 00924-2465 |
Second Address | San Juan, PR 00918-4257 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |