1518104694 NPI number — MISS WALESKA CARDIN ARROYO LND

Table of content: MISS WALESKA CARDIN ARROYO LND (NPI 1518104694)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518104694 NPI number — MISS WALESKA CARDIN ARROYO LND

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARDIN ARROYO
Provider First Name:
WALESKA
Provider Middle Name:
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
LND
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CARDIN ARROYO
Provider Other First Name:
WALESKA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
LND
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1518104694
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC 1 BOX 6467
Provider Second Line Business Mailing Address:
BARRIO PASTO
Provider Business Mailing Address City Name:
AIBONITO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00705-9786
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-735-7692
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HC 1 BOX 6467
Provider Second Line Business Practice Location Address:
BARRIO PASTO
Provider Business Practice Location Address City Name:
AIBONITO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00705-9786
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-735-7692
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2009

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: 133NN1002X , with the licence number:  1374 , 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)





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