Basic Information
| Provider Information | |||||||||
| NPI: | 1649625120 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NARVAEZ | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 196 CALLE SAN PABLO | ||||||||
| Address2: | URB. VALLE SAN LUIS | ||||||||
| City: | MOROVIS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006872158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7875155498 | ||||||||
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| Practice Location | |||||||||
| Address1: | 66 URB CATALANA | ||||||||
| Address2: | PMB 288 | ||||||||
| City: | BARCELONETA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006172725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7879153000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2016 | ||||||||
| LastUpdateDate: | 05/03/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 596 | PR | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.