Healthcare Provider Details

I. General information

NPI: 1184289191
Provider Name (Legal Business Name): CARMEN SOCORRO AMARO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVENIDA PEDRO ALBIZU CAMPOS CARR 3
GUAYAMA PR
00784
US

IV. Provider business mailing address

AVENIDA PEDRO ALBIZU CAMPOS CARR 3
GUAYAMA PR
00784
US

V. Phone/Fax

Practice location:
  • Phone: 787-864-0095
  • Fax:
Mailing address:
  • Phone: 787-864-0095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number19026
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: