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 | 207L00000X | Anesthesiology | | 11942 | 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 | 660628329 | OTHER | PUERTO RICO | COSVI |
| 2 | 660628329 | OTHER | PUERTO RICO | MAPFRE LIFE INSURANCE |
| 3 | G-50208 | MEDICARE UPIN | PUERTO RICO | |
| 4 | 660628329 | OTHER | PUERTO RICO | CHAMPVA |
| 5 | 660628329 | OTHER | PUERTO RICO | CIGNA |
| 6 | 660628329 | OTHER | PUERTO RICO | FIRST PLUS |
| 7 | 660628329 | OTHER | PUERTO RICO | MEDICAL CARD SYSTEM |
| 8 | AETNA | OTHER | PUERTO RICO | 660628329 |
| 9 | 100080 | OTHER | PUERTO RICO | CRUZ AZUL |
| 10 | 66-0628329 | OTHER | PUERTO RICO | CHAMPUS |
| 11 | 660628329 | OTHER | PUERTO RICO | CANADA LIFE |
| 12 | 89056 | MEDICARE ID-TYPE UNSPECIFIED | PUERTO RICO | MEDICARE |
| 13 | 660628329 | OTHER | PUERTO RICO | ASISTENCIA MEDICA |
| 14 | 660628329 | OTHER | PUERTO RICO | MEDICARE OPTIMO |
| 15 | 660628329 | OTHER | PUERTO RICO | MCS CLASSIC CARE |
| 16 | 8370 | OTHER | PUERTO RICO | ACAA |
| 17 | 89056 | OTHER | PUERTO RICO | TRIPLE SSS INC |
| 18 | 3626-5/5007 | OTHER | PUERTO RICO | ASOCIACION MAESTROS |
| 19 | P274 | OTHER | PUERTO RICO | INTERNATIONAL MEDICAL CAR |
| 20 | 660628329 | OTHER | PUERTO RICO | BLUE CROSS & BLUESHIELD |