Provider Demographics
NPI:1346004686
Name:BORRELI, PAOLA YANIRA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:PAOLA
Middle Name:YANIRA
Last Name:BORRELI
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 URB SAN JOSE
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-1548
Mailing Address - Country:US
Mailing Address - Phone:787-951-3121
Mailing Address - Fax:
Practice Address - Street 1:97 URB SAN JOSE
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-1548
Practice Address - Country:US
Practice Address - Phone:787-951-3121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR094194163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse