Provider Demographics
NPI:1386749570
Name:PISKORSKI, DARLENE ELAINE (MD)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:ELAINE
Last Name:PISKORSKI
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 1:100 AVE LA SIERRA
Mailing Address - Street 2:COND. LA SIERRA DEL SOL APT. B-17
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4316
Mailing Address - Country:US
Mailing Address - Phone:787-760-0307
Mailing Address - Fax:
Practice Address - Street 1:BO. MONACILLO MEDICAL CENTER
Practice Address - Street 2:HOSPITAL MUNICIPAL DE SAN JUAN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-766-2223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10219208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics