Provider Demographics
NPI:1225754500
Name:VILLAFRANCA, IRINA (FNP)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:VILLAFRANCA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HB5 CALLE ELISA TAVAREZ
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3627
Mailing Address - Country:US
Mailing Address - Phone:939-287-4760
Mailing Address - Fax:
Practice Address - Street 1:HB5 CALLE ELISA TAVAREZ
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-3627
Practice Address - Country:US
Practice Address - Phone:939-287-4760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRF09221010363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care