NPI | 1033428305 |
---|---|
Former Name | ALEYDIS RIVERA-TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN478) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ACN478) |
208D00000X General Practice (Licence: PR 18,032) | |
Enumeration Date | 2010-10-04 |
Last Update Date | 2018-06-08 |