Doctor Name: | DR. ENERY M CORDERO- GUILLAMA |
NPI Number: | 1528095833 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 15075 |
Business Practice Address: | Carr. 119 Km. 9.2 Bo. Camuy Arriba Palomar Plaza, Suite 2 Camuy, PR - 00627 |
Business Phone Number: | 7878985584 |
Business Fax Number: | 7878985584 |
Mailing Address: | Po Box 850, CAMUY |
State: | PR |
Postal Code: | 006270850 |
Phone Number: | 7878985584 |
Fax Number: | 7878985584 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |