Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist |
NPI | 1215143565 |
---|---|
Provider Name | Sonia E. Virella |
First Address | Toa Alta, PR 00954-1137 |
Second Address | Toa Alta, PR 00954-1137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10-1086 | IVISION INTERNATIONAL (01) | PR |
215915 | PREFERED HEALTH (01) | PR |
5930 | AMERICAN HEALTH (01) | PR |