Individual provider · NPI-1

David E Blas-Boria, M.D.

Psychiatry & Neurology, Neurology · Caguas, PR

NPI number1366642332
StatusActive
Last updated in NPPESFeb 11, 2015

Details

NPI
1366642332
Entity type
Individual (NPI-1)
Name
David E Blas-Boria
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 19, 2007
Last updated
Feb 11, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology17216PRYes

Practice location

30 Calle Padial Gatsby Plaza
Suite 318
Caguas, PR 00725-3807

Phone 787-479-6889

Mailing address

Rr 36 Box 1362
San Juan, PR 00926-9704

Phone 787-479-6889

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