Provider Demographics
NPI:1750546743
Name:ISONA, MUGUETTE I (MD)
Entity type:Individual
Prefix:DR
First Name:MUGUETTE
Middle Name:I
Last Name:ISONA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 AVE WILSON APT 5C
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1864
Mailing Address - Country:US
Mailing Address - Phone:787-307-6532
Mailing Address - Fax:
Practice Address - Street 1:1081 AVE WILSON APT 5C
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1864
Practice Address - Country:US
Practice Address - Phone:787-307-6532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-19
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18232208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics