Moreno, Esmeralda

Moreno, Esmeralda is an sole proprietor health care provider with primary practice located at Hc 83 Box 6184 , Vega Alta PR 00692-9723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moreno, Esmeralda can be contacted via phone (704) 852-2403.

Contact Information

Primary practice address
Hc 83 Box 6184 Vega Alta PR 00692-9723
Phone: (704) 852-2403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1988 Puerto Rico

Profile Details

NPI number 1245618396
LBN Legal business name Moreno, Esmeralda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2015
Last updated Jan 15th, 2024 - about 2 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 1245618396 NPPES
Virginia Other E69635585 PCA CERTIFICATE
Virginia Other 1988 PCA CERTIFICATE

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