Healthcare Provider Details

I. General information

NPI: 1194497909
Provider Name (Legal Business Name): ANABEL PUIG PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 09/30/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3103 AVE ISLA VERDE APT 804
CAROLINA PR
00979-4944
US

IV. Provider business mailing address

3103 AVE ISLA VERDE APT 804
CAROLINA PR
00979-4944
US

V. Phone/Fax

Practice location:
  • Phone: 787-930-3636
  • Fax:
Mailing address:
  • Phone: 787-726-0210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: