Provider Demographics
NPI:1699219832
Name:NOGUERA, PAOLA ESTHER
Entity Type:Individual
Prefix:
First Name:PAOLA
Middle Name:ESTHER
Last Name:NOGUERA
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 1:3401 N 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2410
Mailing Address - Country:US
Mailing Address - Phone:786-564-4878
Mailing Address - Fax:
Practice Address - Street 1:3401 N 72ND AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-2410
Practice Address - Country:US
Practice Address - Phone:786-564-4878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other