Chiclana, Ivette

Chiclana, Ivette is an sole proprietor health care provider with primary practice located at Ss 8 Plaza 9 Urb. Mansion Del Sur, Toa Baja PR 00949-4819. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Chiclana, Ivette can be contacted via phone (787) 795-2485.

Contact Information

Primary practice address
Ss 8 Plaza 9 Urb. Mansion Del Sur Toa Baja PR 00949-4819
Phone: (787) 795-2485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1285847244
LBN Legal business name Chiclana, Ivette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285847244 NPPES
Puerto Rico Other 5560 STATE MEDICAL LICENCE

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