1013673722 NPI number — MISS SELENA TORRES MARRERO I ENFERMERA

Table of content: MISS SELENA TORRES MARRERO I ENFERMERA (NPI 1013673722)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013673722 NPI number — MISS SELENA TORRES MARRERO I ENFERMERA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARRERO
Provider First Name:
SELENA
Provider Middle Name:
TORRES
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
I
Provider Credential Text:
ENFERMERA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MARRERO
Provider Other First Name:
SELENA
Provider Other Middle Name:
TORRES
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
I
Provider Other Credential Text:
ENFERMERA
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1013673722
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/17/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 540
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AGUIRRE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00704-0540
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-410-6076
Provider Business Mailing Address Fax Number:
787-803-9093

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 3 KM 152.1
Provider Second Line Business Practice Location Address:
BARRIADA LOPEZ BARRIO AGUIRRE
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00751
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-410-6076
Provider Business Practice Location Address Fax Number:
787-803-9093
Provider Enumeration Date:
11/17/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WG0000X , with the licence number:  96460-G , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 96460-G . This is a "LICENCIA DE ENFERMERIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com