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 | 207W00000X | Ophthalmology | | 7190 | 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 | 0028911 | OTHER | PUERTO RICO | AUXILIO PLATINO ID |
| 2 | 9360087 | OTHER | PUERTO RICO | HUMANA GOLD PLUS ID |
| 3 | 213127 | OTHER | PUERTO RICO | PREFERRED HEALTH ID |
| 4 | 0028911 | MEDICARE ID-TYPE UNSPECIFIED | PUERTO RICO | MEDICARE ID |
| 5 | 28911 | OTHER | PUERTO RICO | MEDICARE OPTIMO ID |
| 6 | 1913 | OTHER | PUERTO RICO | PREF MEDICARE CHOICE ID |
| 7 | PE 2358 | OTHER | PUERTO RICO | PALIC INS ID |
| 8 | 67973 | OTHER | PUERTO RICO | CRUZ AZUL INS ID |
| 9 | C79794 | MEDICARE UPIN | PUERTO RICO | |
| 10 | 28911 | OTHER | PUERTO RICO | TRIPLE S INS ID |
| 11 | 9360087 | OTHER | PUERTO RICO | HUMANA INS ID |
