Doctor Name: | DR. KAREEN T. TIRADO |
NPI Number: | 1811933633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 15778 |
Business Practice Address: | 3 Luis Munoz Rivera Vega Alta, PR - 00692 |
Business Phone Number: | 7878830124 |
Business Fax Number: | |
Mailing Address: | Las Praderas 1053, Jaspe St. BARCELONETA |
State: | PR |
Postal Code: | 006172957 |
Phone Number: | 7878463794 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 10/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |