Provider Demographics
NPI:1609282300
Name:LLINAS MESSEGUER, MARIOLA (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARIOLA
Middle Name:
Last Name:LLINAS MESSEGUER
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 1:155 AVE ARTERIAL HOSTOS
Mailing Address - Street 2:GOLDEN COURT II, APT 207
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-727-1000
Mailing Address - Fax:787-727-0507
Practice Address - Street 1:252 SAN JORGE MEDICAL BUILDING
Practice Address - Street 2:SUITE 405
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:787-727-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2020-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19870207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology