Provider Demographics
NPI:1114345303
Name:SINIGAGLIA, OLGA E I
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:E
Last Name:SINIGAGLIA
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. SANTA MARIA CALLE HACIENDA GRANDE L4
Mailing Address - Street 2:
Mailing Address - City:GUAYANILLA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00656
Mailing Address - Country:UM
Mailing Address - Phone:787-518-8212
Mailing Address - Fax:
Practice Address - Street 1:22 L-4 CALLE HACIENDA GRANDE
Practice Address - Street 2:URB.SANTA MARIA
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656
Practice Address - Country:US
Practice Address - Phone:787-518-8212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1874133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education