Doctor Name: | MARICARMEN CARDONA-BOSQUE |
NPI Number: | 1275915829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 13,950-I |
Business Practice Address: | Carr 2 Km 173.4 Hospital De La Concepcion San German, PR - 00683 |
Business Phone Number: | 7878921860 |
Business Fax Number: | |
Mailing Address: | Po Box 1463, MAYAGUEZ |
State: | PR |
Postal Code: | 006811463 |
Phone Number: | 7879512556 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2015 |
NPI Last Update Date: | 07/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 13,950-I |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |