Doctor Name: | DR. LOURDES C. HERMINA ALAGO |
NPI Number: | 1790929446 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 17542 |
Business Practice Address: | 54 Calle Iguina W Camuy, PR - 006272625 |
Business Phone Number: | 7878982561 |
Business Fax Number: | |
Mailing Address: | 54 Calle Iguina W, CAMUY |
State: | PR |
Postal Code: | 006272625 |
Phone Number: | 7878982561 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2009 |
NPI Last Update Date: | 06/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17542 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |