Provider Demographics
NPI:1801339239
Name:MEJIAS, MARIA
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:MEJIAS
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:HC04 BOX 46800
Mailing Address - Street 2:CARR LA PALMA SECTOR EL SEIS
Mailing Address - City:AGUADILLA
Mailing Address - State:PR - PUERTO RICO
Mailing Address - Zip Code:00603
Mailing Address - Country:UM
Mailing Address - Phone:939-339-7957
Mailing Address - Fax:
Practice Address - Street 1:HC 4 BOX 46800
Practice Address - Street 2:CARR LA PALMA SECTOR EL SEIS
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-9834
Practice Address - Country:US
Practice Address - Phone:939-339-7957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-03
Last Update Date:2016-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR077895-G163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse