Healthcare Provider Details

I. General information

NPI: 1124955299
Provider Name (Legal Business Name): VICTORIA L. LAMBERTY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COND. REXVILLE PARK 200 CALLE 17A APT. E209
BAYAMON PR
00957
US

IV. Provider business mailing address

CONDOMINIO REXVILLE PARK 200 CALLE 17-A APT. E-209
BAYAMON PR
00957
US

V. Phone/Fax

Practice location:
  • Phone: 787-393-0417
  • Fax:
Mailing address:
  • Phone: 787-393-0417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number6929209
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: