Doctor Name: | DR. NORMA I VERGNE |
NPI Number: | 1043683840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 19221 |
Business Practice Address: | 70 Calle Munoz Rivera Juana Diaz, PR - 007951635 |
Business Phone Number: | 7872600480 |
Business Fax Number: | 7872600480 |
Mailing Address: | 109 Palacios Del Prado, JUANA DIAZ |
State: | PR |
Postal Code: | 007952118 |
Phone Number: | 7873636629 |
Fax Number: | 7872600480 |
NPI Enumeration Date: | 11/03/2015 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 19221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |