Doctor Name: | MS. LORIANN ANTOMMARCHI |
NPI Number: | 1912928318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 14588 |
Business Practice Address: | 20 Calle Rius Rivera Adjuntas, PR - 006012337 |
Business Phone Number: | 7878294476 |
Business Fax Number: | 7878292569 |
Mailing Address: | La Quinta Calle 5 J 14, YAUCO |
State: | PR |
Postal Code: | 00698 |
Phone Number: | 7878294476 |
Fax Number: | 7878292569 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14588 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |