Provider Demographics
NPI:1477707537
Name:NAVARRETE GUASTELLA, PAOLA M (CMT)
Entity Type:Individual
Prefix:
First Name:PAOLA
Middle Name:M
Last Name:NAVARRETE GUASTELLA
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 CALLE CHILE
Mailing Address - Street 2:CONDOMINIO CADIZ APT.7-B
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-2101
Mailing Address - Country:US
Mailing Address - Phone:787-510-7086
Mailing Address - Fax:
Practice Address - Street 1:253 CALLE CHILE
Practice Address - Street 2:CONDOMINIO CADIZ APT.7-B
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-2101
Practice Address - Country:US
Practice Address - Phone:787-510-7086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist