Provider Demographics
NPI:1962659102
Name:ORONA, CARMEN I (680)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:I
Last Name:ORONA
Suffix:
Gender:F
Credentials:680
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BC18 CALLE DR GABRIEL FERRER
Mailing Address - Street 2:LEVITTOWN
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3437
Mailing Address - Country:US
Mailing Address - Phone:787-242-1031
Mailing Address - Fax:
Practice Address - Street 1:610 AVE COMERIO
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4067
Practice Address - Country:US
Practice Address - Phone:787-261-4520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR680156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician