Provider Demographics
NPI:1215143565
Name:VIRELLA, SONIA E
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:E
Last Name:VIRELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1137
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00954-1137
Mailing Address - Country:US
Mailing Address - Phone:787-870-7575
Mailing Address - Fax:787-870-7575
Practice Address - Street 1:CALLE ANTONIO R. BARCELO #8
Practice Address - Street 2:
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00954-1137
Practice Address - Country:US
Practice Address - Phone:787-870-7575
Practice Address - Fax:787-870-7575
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5930OtherAMERICAN HEALTH
PR10-1086OtherIVISION INTERNATIONAL
PR215915OtherPREFERED HEALTH