Healthcare Provider Details

I. General information

NPI: 1508985615
Provider Name (Legal Business Name): NORMA WILLIAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 11/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 CALLE BRAZIL
SAN JUAN PR
00915-4110
US

IV. Provider business mailing address

617 CALLE BRAZIL
SAN JUAN PR
00915-4110
US

V. Phone/Fax

Practice location:
  • Phone: 787-344-4502
  • Fax: 787-775-8022
Mailing address:
  • Phone: 787-344-4502
  • Fax: 787-775-8022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number8544
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: