Healthcare Provider Details

I. General information

NPI: 1871798678
Provider Name (Legal Business Name): ANA M. PARRILLA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 09/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDICAL SCIENCES CAMPUS, MEDICAL SCIENCES CAMPUS, UNIVE MAIN BLDG ROOM B-458
SAN JUAN PR
00936-5067
US

IV. Provider business mailing address

PO BOX 71325 SUITE 303
SAN JUAN PR
00936-8425
US

V. Phone/Fax

Practice location:
  • Phone: 787-759-6546
  • Fax: 787-759-6546
Mailing address:
  • Phone: 787-759-6546
  • Fax: 787-759-6546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number9383
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: