Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207RN0300X | Internal Medicine | Nephrology | 12794 | PUERTO RICO | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 89500 | OTHER | PUERTO RICO | TRIPLE-S |
| 2 | 601025 | OTHER | PUERTO RICO | MEDICARE Y MUCHO MAS |
| 3 | 3348 | OTHER | PUERTO RICO | AMERICAN HEALTH |
| 4 | 36285 GPO 5026 | OTHER | PUERTO RICO | ASOCIACION DE MAESTROS |
| 5 | 4812794 | OTHER | PUERTO RICO | UIA |
| 6 | 660629838 | OTHER | PUERTO RICO | FIRST PLUS |
| 7 | 9170088 | OTHER | PUERTO RICO | HUMANA HEALTH PLAN |
| 8 | 12974 | OTHER | PUERTO RICO | PLAN DE SALUD BELLA VISTA |
| 9 | 100062 | OTHER | PUERTO RICO | CRUZ AZUL DE PR |
| 10 | 210041 | OTHER | PUERTO RICO | UTI |
| 11 | 660629838 | OTHER | PUERTO RICO | MCS HEALTH MANAGEMENT OPT |
| 12 | A026 | OTHER | PUERTO RICO | INTERNATIONAL MEDICAL PLA |
