Healthcare Provider Details

I. General information

NPI: 1801118575
Provider Name (Legal Business Name): NANCY E WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2010
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 AVE MUNOZ RIVERA
PONCE PR
00717-0643
US

IV. Provider business mailing address

PO BOX 10038
PONCE PR
00732-0038
US

V. Phone/Fax

Practice location:
  • Phone: 787-848-0405
  • Fax: 787-290-3535
Mailing address:
  • Phone: 787-848-0405
  • Fax: 787-290-3535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number2025
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: