Provider Demographics
NPI:1972879807
Name:FALCHE-PACHECO, MARIA DE LOS ANGELES (MSW)
Entity type:Individual
Prefix:MISS
First Name:MARIA DE LOS
Middle Name:ANGELES
Last Name:FALCHE-PACHECO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 560458
Mailing Address - Street 2:BO. MAGAS ABAJO CARRETERA #2
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-0458
Mailing Address - Country:US
Mailing Address - Phone:939-207-2894
Mailing Address - Fax:
Practice Address - Street 1:996 SAN ROBERTO SP SUITE 301 BUILDIING V
Practice Address - Street 2:PROF. OFFICE PARK PFEZER TOWER APS HEALTHCARE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-8574
Practice Address - Country:US
Practice Address - Phone:939-207-2894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4755930261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR$$$$$$$$$OtherSOCIAL SECURITY NUMBER