Healthcare Provider Details

I. General information

NPI: 1154532588
Provider Name (Legal Business Name): NORA TAPIA-ANCHONDO RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CALLE CERRA CDT GUALBERTO RABELL
SAN JUAN PR
00907-5104
US

IV. Provider business mailing address

171 CALLE TAFT APT 2B
SAN JUAN PR
00911-2089
US

V. Phone/Fax

Practice location:
  • Phone: 787-977-0537
  • Fax: 787-723-3207
Mailing address:
  • Phone: 787-377-7747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number0224
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: