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
Phone: (787) 717-2568
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144787458 | NPPES |
Puerto Rico | Other | 1187382 | DRIVER LICENSE |
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