Viera- San Martin, Ivan Lorenzo

Viera- San Martin, Ivan Lorenzo is an sole proprietor health care provider with primary practice located at 78 Plaza Fabiola Estancias De Cerro Gordo, Vega Alta PR 00692-9125. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Viera- San Martin, Ivan Lorenzo can be contacted via phone (787) 717-2568.

Contact Information

Primary practice address
78 Plaza Fabiola Estancias De Cerro Gordo Vega Alta PR 00692-9125
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X E1779 Puerto Rico

Profile Details

NPI number 1144787458
LBN Legal business name Viera- San Martin, Ivan Lorenzo
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2019
Last updated Feb 22nd, 2019 - about 6 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 1144787458 NPPES
Puerto Rico Other 1187382 DRIVER LICENSE

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