Provider Demographics
NPI:1356195119
Name:AQUINO OBANDO, ANA LORENA (MD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:LORENA
Last Name:AQUINO OBANDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W 59TH ST APT 5A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-0171
Mailing Address - Country:US
Mailing Address - Phone:917-415-3868
Mailing Address - Fax:
Practice Address - Street 1:515 W 59TH ST APT 5A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-0171
Practice Address - Country:US
Practice Address - Phone:917-415-3868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program