Provider Demographics
NPI:1720797897
Name:PRATTS NAVARRO, PAOLA NICOLE
Entity Type:Individual
Prefix:
First Name:PAOLA
Middle Name:NICOLE
Last Name:PRATTS NAVARRO
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 1:353 VILLAS DE CAMBALACHE 2
Mailing Address - Street 2:T-32 CALLE GRANADILLO
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745
Mailing Address - Country:US
Mailing Address - Phone:787-550-4971
Mailing Address - Fax:
Practice Address - Street 1:353 VILLAS DE CAMBALACHE 2
Practice Address - Street 2:T-32 CALLE GRANADILLO
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745
Practice Address - Country:US
Practice Address - Phone:787-550-4971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program