Doctor Name: | MRS. EVELYN BORRERO |
NPI Number: | 1114077450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1602692 |
Business Practice Address: | 19 St V1 Lagos De Plata Levittown Toa Baja, PR - 00949 |
Business Phone Number: | 7877845475 |
Business Fax Number: | 7877845475 |
Mailing Address: | V1 Calle 19, Levittown TOA BAJA |
State: | PR |
Postal Code: | 009493200 |
Phone Number: | 7877845475 |
Fax Number: | 7877845475 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1602692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |