NPI | 1144852138 |
---|---|
Professional Name | SEBASTIAN QUINONES CARRASQUILLO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 16345-I) |
Additional Taxonomies | 261Q00000X Clinic/Center |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-02-07 |
Last Update Date | 2022-07-25 |