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NPI Profile for PEDIATRIC GYNECOLOGY OF PUERTO RICO LLC in SAN JUAN, PR.
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology | |
Adolescent Medicine |
2080A0000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1528710241 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/24/2022 | |
| Last updated | 02/08/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PEDIATRIC GYNECOLOGY OF PUERTO RICO LLC