Provider Demographics
NPI:1306965355
Name:LLANOS, NINCI LIMARI (MD)
Entity type:Individual
Prefix:
First Name:NINCI
Middle Name:LIMARI
Last Name:LLANOS
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:P34 CALLE GARDENIA
Mailing Address - Street 2:JARDINES DE BORINQUEN
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-4236
Mailing Address - Country:US
Mailing Address - Phone:939-475-9036
Mailing Address - Fax:
Practice Address - Street 1:AVE LUIS MUNOZ MARIN ESQ DEGETAU
Practice Address - Street 2:#100
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726-4980
Practice Address - Country:US
Practice Address - Phone:787-653-3434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16460207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR16460OtherMEDICAL LIC