Provider Demographics
NPI:1114196334
Name:OCASIO, MARIA DE LOS A (MT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DE LOS A
Last Name:OCASIO
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:BOQUERON
Mailing Address - State:PR
Mailing Address - Zip Code:00622-0323
Mailing Address - Country:US
Mailing Address - Phone:787-254-2550
Mailing Address - Fax:787-254-2550
Practice Address - Street 1:CALLE LUIS MUNOZ RIVERA #63
Practice Address - Street 2:
Practice Address - City:BOQUERON
Practice Address - State:PR
Practice Address - Zip Code:00622
Practice Address - Country:US
Practice Address - Phone:787-254-2550
Practice Address - Fax:787-254-2550
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2267246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist