Provider Demographics
NPI:1831390657
Name:LLORENS, NANNETTE ESTHER (PHD)
Entity type:Individual
Prefix:DR
First Name:NANNETTE
Middle Name:ESTHER
Last Name:LLORENS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2068 CALLE FORTUNA
Mailing Address - Street 2:URB. CONSTANCIA GARDENS
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2233
Mailing Address - Country:US
Mailing Address - Phone:787-843-6551
Mailing Address - Fax:787-843-6551
Practice Address - Street 1:2068 CALLE FORTUNA
Practice Address - Street 2:URB. CONSTANCIA GARDENS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2233
Practice Address - Country:US
Practice Address - Phone:787-284-6060
Practice Address - Fax:787-284-6060
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1421174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist