Healthcare Provider Details

I. General information

NPI: 1396946943
Provider Name (Legal Business Name): MS. AIDA LUZ AIDITA MONSERRATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE DIANA URB. SANTA ROSA CALLE DIANA A-6
CAGUAS PR
00725-0000
US

IV. Provider business mailing address

URB. SANTA ROSA CALLE DIANA A-6 P.O BOX 8033
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-886-1652
  • Fax:
Mailing address:
  • Phone: 787-886-1652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number2433
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number699
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: