Provider Demographics
NPI:1710295159
Name:CARTAGENA, LUCRECIA
Entity Type:Individual
Prefix:
First Name:LUCRECIA
Middle Name:
Last Name:CARTAGENA
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:PO BOX 141
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-0141
Mailing Address - Country:US
Mailing Address - Phone:787-824-8441
Mailing Address - Fax:787-844-4130
Practice Address - Street 1:URB LAS MERCEDES CALLE 4
Practice Address - Street 2:CASA 4A
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-0141
Practice Address - Country:US
Practice Address - Phone:787-824-8441
Practice Address - Fax:787-844-4130
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16455163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse