Doctor Name: | DR. BLANCA SALAS BOSQUE |
NPI Number: | 1780767251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 14983 |
Business Practice Address: | Carr 2 Km 31.9 Bo. Bajura Vega Alta, PR - 00692 |
Business Phone Number: | 7878830124 |
Business Fax Number: | 7878837645 |
Mailing Address: | 222 Calle Blanca Chico, MOCA |
State: | PR |
Postal Code: | 00676 |
Phone Number: | 7875971495 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |