Provider Demographics
NPI:1174974760
Name:IGARTUA VERAY, ANA M (MD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:M
Last Name:IGARTUA VERAY
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 1:2645 CARR 113
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-2432
Mailing Address - Country:US
Mailing Address - Phone:787-666-8081
Mailing Address - Fax:
Practice Address - Street 1:155 CALLE SOCORRO
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-1830
Practice Address - Country:US
Practice Address - Phone:787-551-7353
Practice Address - Fax:787-551-7365
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-25
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19867208D00000X
PR14,052-I208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice