Provider Demographics
NPI:1801294509
Name:CLAUDIO, MARANGELLI
Entity type:Individual
Prefix:
First Name:MARANGELLI
Middle Name:
Last Name:CLAUDIO
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 1:111 CALLE PADRE APONTE
Mailing Address - Street 2:LA INMACULADA
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-9897
Mailing Address - Country:US
Mailing Address - Phone:787-607-0917
Mailing Address - Fax:
Practice Address - Street 1:111 CALLE PADRE APONTE
Practice Address - Street 2:URBANIZACION LA INMACULADA
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-9897
Practice Address - Country:US
Practice Address - Phone:787-607-0917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR583174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist