Healthcare Provider Details

I. General information

NPI: 1184319345
Provider Name (Legal Business Name): KAREN BORGES PEREZ I MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 04/05/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE MAGA BO MONACILLO RESIDENCIAL VARONES SAN JUAN
SAN JUAN PR
00926-0433
US

IV. Provider business mailing address

PO BOX 433
SAN SEBASTIAN PR
00685-0433
US

V. Phone/Fax

Practice location:
  • Phone: 787-274-1633
  • Fax:
Mailing address:
  • Phone: 787-238-2041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number2229
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: