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Individual

DR. BEATRIZ PORRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35076667
OH
207N00000X
Dermatology Physician
35.076667
OH
207ND0900X
Dermatopathology Physician
35.076667
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200472230
IN
05
2459192
OH
Enumeration date
11/21/2005
Last updated
10/31/2016
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