Provider Demographics
NPI:1578195566
Name:NAZARIO PARTIDA, ANA MARINA (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:MARINA
Last Name:NAZARIO PARTIDA
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:URB. CAMINO DEL SUR
Mailing Address - Street 2:GAVIOTA STREET #467
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-718-7455
Mailing Address - Fax:
Practice Address - Street 1:URB. CAMINO DEL SUR
Practice Address - Street 2:GAVIOTA STREET # 467
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-718-7455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-07
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21647208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice