Provider Demographics
NPI:1184888927
Name:NELLIE TORRES DE CARELA
Entity type:Organization
Organization Name:NELLIE TORRES DE CARELA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTORA
Authorized Official - Prefix:
Authorized Official - First Name:NELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES DE CARELA
Authorized Official - Suffix:
Authorized Official - Credentials:LCDA
Authorized Official - Phone:787-774-1163
Mailing Address - Street 1:1273 CALLE 54 SE
Mailing Address - Street 2:URB. LA RIVIERA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3144
Mailing Address - Country:US
Mailing Address - Phone:787-774-1163
Mailing Address - Fax:787-774-1167
Practice Address - Street 1:1273 CALLE 54 SE
Practice Address - Street 2:URB. LA RIVIERA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3144
Practice Address - Country:US
Practice Address - Phone:787-774-1163
Practice Address - Fax:787-774-1167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center