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General NPI Number Information
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NPI Number | 1144005562
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Entity Type | Organization
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Legal Business Name | CENTRO DE ALERGIA E INMUNOLOGIA DEL CARIBE LLC
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 2431 BLVD LUIS A FERRE EDIF. A. PORRATA PILA, SUITE 305
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City | PONCE
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State | PR
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Zip | 00717-2113
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Country | US
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Telephone | 787-401-5757
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Fax |
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Provider Business Mailing Address
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Address Line | 251 CALLE MAGA
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City | JAYUYA
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State | PR
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Zip | 00664-1619
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Country | US
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Telephone | 787-613-6976
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NATALIA SOFIA FERNANDEZ DAVILA
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Credential | MD
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Telephone | 787-613-6976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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