Provider Demographics
NPI:1164406864
Name:TAPIA, CARMEN M (PRACTICAL NURSE)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:M
Last Name:TAPIA
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Gender:F
Credentials:PRACTICAL NURSE
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Mailing Address - Street 1:EDIFIECIO 4 APARTAMENTO 37
Mailing Address - Street 2:RESIDENCIAL EL FARO
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-767-7676
Mailing Address - Fax:787-764-9904
Practice Address - Street 1:AVENIDA 65TH INFANTERIA KILOMETRO 34
Practice Address - Street 2:BARRIO SABANA LLANA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-767-7676
Practice Address - Fax:787-764-9904
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR31067164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse