1942240049 NPI number — MRS. NORMA IRIS PRATS LOZADA LND

Table of content: MRS. NORMA IRIS PRATS LOZADA LND (NPI 1942240049)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942240049 NPI number — MRS. NORMA IRIS PRATS LOZADA LND

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PRATS LOZADA
Provider First Name:
NORMA
Provider Middle Name:
IRIS
Provider Name Prefix Text:
MRS.
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:
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:
1942240049
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1937 CALLE 46
Provider Second Line Business Mailing Address:
URB. FAIRVIEW
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00926-7636
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-292-1552
Provider Business Mailing Address Fax Number:
787-763-4278

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1056 CALLE FERROCARRIL
Provider Second Line Business Practice Location Address:
SUITE #1
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00925-3028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-764-8937
Provider Business Practice Location Address Fax Number:
787-763-4278
Provider Enumeration Date:
06/07/2006

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: 133N00000X , with the licence number:  237 , 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: NUT / 012 . This is a "PREFERRED HEALTH PLAN" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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