Provider Demographics
NPI:1508985615
Name:WILLIAMS, NORMA (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 CALLE BRAZIL
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00915-4110
Mailing Address - Country:US
Mailing Address - Phone:787-344-4502
Mailing Address - Fax:787-775-8022
Practice Address - Street 1:617 CALLE BRAZIL
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00915-4110
Practice Address - Country:US
Practice Address - Phone:787-344-4502
Practice Address - Fax:787-775-8022
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
8544173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF22972Medicare UPIN