1215925730 NPI number — MRS. NORMA BEATRIZ LLAGUNO M.D.

Table of content: MRS. NORMA BEATRIZ LLAGUNO M.D. (NPI 1215925730)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215925730 NPI number — MRS. NORMA BEATRIZ LLAGUNO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LLAGUNO
Provider First Name:
NORMA
Provider Middle Name:
BEATRIZ
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215925730
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
AVE. CENTRAL , COND. HATO REY PLAZA
Provider Second Line Business Mailing Address:
APT. 12-H
Provider Business Mailing Address City Name:
HATO REY
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00918
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-791-6146
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE CERRA 900
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTURSE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-767-8707
Provider Business Practice Location Address Fax Number:
787-721-4057
Provider Enumeration Date:
10/10/2005

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: 208D00000X , with the licence number:  7598 , 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: 06919DM-5 . This is a "LIC. NARCTICOS ESTATAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: AL3163526 . This is a "LIC. NARCTICOS FEDERAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 069583 . This is a "CRUZ AZUL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 7598 . This is a "LICENCIA M.D." identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 82907LL . This is a "TRIPLE S" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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