Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 58443 | MN |
NPI | 1336344522 |
---|---|
Provider Name | Yesenia Maria Rodriguez Alvarez |
First Address | Dorado, PR 00646-3608 |
Second Address | Manati, PR 00674-4689 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 22/06/2021 |