Healthcare Provider Details

I. General information

NPI: 1326166448
Provider Name (Legal Business Name): MARIA INES PALOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#2 CALLE MANUEL GARCIA
LAS PIEDRAS PR
00771-3063
US

IV. Provider business mailing address

#2 MANUEL GARCIA ST.
LAS PIEDRAS PR
00771-3063
US

V. Phone/Fax

Practice location:
  • Phone: 787-733-1222
  • Fax: 787-733-1310
Mailing address:
  • Phone: 787-733-1222
  • Fax: 787-733-1310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number11325
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: