Provider Demographics
NPI:1639691587
Name:BATLLE, CRISTAL E
Entity Type:Individual
Prefix:
First Name:CRISTAL
Middle Name:E
Last Name:BATLLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 SW 116TH TER APT 210
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-7576
Mailing Address - Country:US
Mailing Address - Phone:646-597-2682
Mailing Address - Fax:
Practice Address - Street 1:2600 SW 116TH TER
Practice Address - Street 2:APT 210
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025
Practice Address - Country:US
Practice Address - Phone:646-597-2682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other