Provider Demographics
NPI:1215925730
Name:LLAGUNO, NORMA BEATRIZ (MD)
Entity type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:BEATRIZ
Last Name:LLAGUNO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE. CENTRAL , COND. HATO REY PLAZA
Mailing Address - Street 2:APT. 12-H
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-791-6146
Mailing Address - Fax:
Practice Address - Street 1:CALLE CERRA 900
Practice Address - Street 2:
Practice Address - City:SANTURSE
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-767-8707
Practice Address - Fax:787-721-4057
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7598208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR06919DM-5OtherLIC. NARCTICOS ESTATAL
PRAL3163526OtherLIC. NARCTICOS FEDERAL
PR069583OtherCRUZ AZUL
PR7598OtherLICENCIA M.D.
PR82907LLOtherTRIPLE S
PRAL3163526OtherLIC. NARC�TICOS FEDERAL
PR7598OtherLICENCIA M.D.