Provider Demographics
NPI:1750958203
Name:CARTAGENA, NORMA IVETTE
Entity type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:IVETTE
Last Name:CARTAGENA
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 1:13116 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-5920
Mailing Address - Country:US
Mailing Address - Phone:787-980-8070
Mailing Address - Fax:
Practice Address - Street 1:13116 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-5920
Practice Address - Country:US
Practice Address - Phone:787-980-8070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator