Healthcare Provider Details
I. General information
NPI: 1831285766
Provider Name (Legal Business Name): DR. MARIA ERLINDA TUNON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/05/2006
Last Update Date: 12/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CONDOMINIO LAS GAVIOTAS APT. 402 BUILDING 3409,
CAROLINA PR
00979
US
IV. Provider business mailing address
CONDOMINIO LAS GAVIOTAS APT. 402 BUILDING 3409,
CAROLINA PR
00979
US
V. Phone/Fax
- Phone: 787-641-2975
- Fax: 787-641-4380
- Phone: 787-641-2975
- Fax: 787-641-4380
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 7131 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: