Provider Demographics
NPI:1437912102
Name:LAMBERTY PETERSON, AMELIA MARGARITA
Entity Type:Individual
Prefix:MS
First Name:AMELIA
Middle Name:MARGARITA
Last Name:LAMBERTY PETERSON
Suffix:
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 1:36 CALLE NEVAREZ
Mailing Address - Street 2:CONDOMINIO LOS OLMOS, APARTAMENTO 7-I
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:863-884-3144
Mailing Address - Fax:
Practice Address - Street 1:36 CALLE NEVAREZ
Practice Address - Street 2:CONDOMINIO LOS OLMOS, APARTAMENTO 7-I
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:863-884-3144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program