Individual
DR. PABLO IVAN ALMODOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3519
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064979
LA CRUZ AZUL DE PR (CA)
PR
01
—
26193
MEDICARE
PR
01
—
94849
SSS
PR
Enumeration date
10/19/2005
Last updated
04/29/2008
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