Doctor Name: | MR. EMERITO VENTURA |
NPI Number: | 1366491391 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 5109 |
Business Practice Address: | B7 Calle Santa Cruz Urb Santa Cruz Bayamon, PR - 009616902 |
Business Phone Number: | 7873758868 |
Business Fax Number: | 7876256124 |
Mailing Address: | B7 Calle Santa Cruz, BAYAMON |
State: | PR |
Postal Code: | 009616902 |
Phone Number: | 7873758868 |
Fax Number: | 7876256124 |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5109 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |