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NPI Code Detail

MEDICARE: DR. TATIANA C POUERIET MD

MEDICARE:  DR. TATIANA C POUERIET  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program17867-IPR

General Provider Information

NPI Number : 1699552364
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TATIANA C POUERIET MD
Provider Business Mailing Address
First Line : 446 CALLE 4
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-1924
Country : US
Telephone Number : 787-367-7313
Fax Number :
Provider Business Practice Location Address
First Line : 446 CALLE 4
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-1924
Country : US
Telephone Number : 787-367-7313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2023
Last Update Date : 06/17/2026

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Directions to “ DR. TATIANA C POUERIET MD” Practice Location

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