Doctor Name: | MRS. ALTAGRACIA E ANDUJAR |
NPI Number: | 1942285747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 3308 |
Business Practice Address: | Calle Hipolito Castro #27 San Sebastian, PR - 006850588 |
Business Phone Number: | 7878961189 |
Business Fax Number: | 7878961189 |
Mailing Address: | Po Box 588, SAN SEBASTIAN |
State: | PR |
Postal Code: | 006850588 |
Phone Number: | 7878961189 |
Fax Number: | 7878961189 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 02/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 3308 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |