Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 18164 | PR |
NPI | 1164671970 |
---|---|
Provider Name | Xamayta L Negroni-Balasquide |
First Address | Guaynabo, PR 00966-8707 |
Second Address | Bayamon, PR 00960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2008 |
Last Update Date | 26/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
013694300 | (05) | FL |