Provider Demographics
NPI:1487982062
Name:PADILLA, ALBA N (BSN)
Entity type:Individual
Prefix:MRS
First Name:ALBA
Middle Name:N
Last Name:PADILLA
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 5086
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-9675
Mailing Address - Country:US
Mailing Address - Phone:787-206-8801
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 5086
Practice Address - Street 2:
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794-9675
Practice Address - Country:US
Practice Address - Phone:787-206-8801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR78712 G163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse