=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669345955
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MISS NICOHL MICHELLE REVERON BATULE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/24/2025
-----------------------------------------------------
Last Update Date | 09/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 721 CALLE HERNANDEZ MIRAMAR TOWERS APT 2N
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00907-4438
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-599-1198
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 721 CALLE HERNANDEZ
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00907-4438
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-599-1198
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171R00000X
-----------------------------------------------------
Taxonomy Name | Interpreter
-----------------------------------------------------
License Number | 014549
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------