Healthcare Provider Details

I. General information

NPI: 1649625120
Provider Name (Legal Business Name): MRS. MARIA L NARVAEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2016
Last Update Date: 05/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 URB CATALANA PMB 288
BARCELONETA PR
00617-2725
US

IV. Provider business mailing address

196 CALLE SAN PABLO URB. VALLE SAN LUIS
MOROVIS PR
00687-2158
US

V. Phone/Fax

Practice location:
  • Phone: 787-915-3000
  • Fax:
Mailing address:
  • Phone: 787-515-5498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number596
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: