Healthcare Provider Details

I. General information

NPI: 1518665421
Provider Name (Legal Business Name): MADOLI ANN ESPOCETTI TORO LPN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 02/21/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. LAS LOMAS C/36 S. O 1576
SAN JUAN PR
00921-0092
US

IV. Provider business mailing address

URB. LAS LOMAS C/36 S.O 1576
SAN JUAN PR
00921-2032
US

V. Phone/Fax

Practice location:
  • Phone: 787-596-6199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95310
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: