Provider Demographics
NPI:1316703804
Name:LORENZANA, CARMEN TAINA
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:TAINA
Last Name:LORENZANA
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:HC 23 BOX 6108
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-9710
Mailing Address - Country:US
Mailing Address - Phone:787-902-1372
Mailing Address - Fax:
Practice Address - Street 1:20 CARR 31
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-3896
Practice Address - Country:US
Practice Address - Phone:787-902-1372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-22
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33606163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse