Provider Demographics
NPI:1518997139
Name:OQUENDO, CLARIBEL (MD)
Entity Type:Individual
Prefix:MRS
First Name:CLARIBEL
Middle Name:
Last Name:OQUENDO
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:B25 CALLE 12
Mailing Address - Street 2:
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-6722
Mailing Address - Country:US
Mailing Address - Phone:787-406-0465
Mailing Address - Fax:787-270-5050
Practice Address - Street 1:B25 CALLE 12
Practice Address - Street 2:SANTA RITA
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-6722
Practice Address - Country:US
Practice Address - Phone:787-590-9733
Practice Address - Fax:787-621-3364
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15619208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI132363Medicare UPIN