| NPI | 1255650834 |
|---|---|
| Former Name | JORGE LUIS BASTOS MARRERO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101286440) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 105867) |
| Enumeration Date | 2010-05-22 |
| Last Update Date | 2025-11-04 |