Provider Demographics
NPI:1518665421
Name:ESPOCETTI TORO, MADOLI ANN (LPN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:MADOLI
Middle Name:ANN
Last Name:ESPOCETTI TORO
Suffix:
Gender:F
Credentials:LPN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. LAS LOMAS C/36 S.O 1576
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-2032
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:URB. LAS LOMAS C/36 S. O 1576
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-0092
Practice Address - Country:US
Practice Address - Phone:787-596-6199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR95310163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse