Doctor Name: | MAYRA D BIDOT |
NPI Number: | 1093997793 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 9542 |
Business Practice Address: | 14 Calle R Martinez Nadal S Mayaguez, PR - 006804927 |
Business Phone Number: | 7872654610 |
Business Fax Number: | 7872654610 |
Mailing Address: | 14 Calle R Martinez Nadal S, MAYAGUEZ |
State: | PR |
Postal Code: | 006804927 |
Phone Number: | 7872654610 |
Fax Number: | 7872654610 |
NPI Enumeration Date: | 12/04/2007 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 9542 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |