Provider Demographics
NPI:1093574352
Name:LLANOS, FIOR D (NURSE)
Entity Type:Individual
Prefix:MS
First Name:FIOR
Middle Name:D
Last Name:LLANOS
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:MS
Other - First Name:FIOR
Other - Middle Name:D
Other - Last Name:LLANOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE
Mailing Address - Street 1:P14 CALLE DON GLORY
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8546
Mailing Address - Country:US
Mailing Address - Phone:939-283-6868
Mailing Address - Fax:
Practice Address - Street 1:DON GLORY P-14
Practice Address - Street 2:PARQUE ECUESTRE
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:939-283-6868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR97604163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse