Amanda Cristina Detres Marquez
Student in an Organized Health Care Education/Training Program in Ponce, PR. Individual provider (NPI-1).
NPI number1336714484
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1336714484
- Entity type
- Individual (NPI-1)
- Name
- Amanda Cristina Detres Marquez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2021
- Certification date
- May 6, 2021
- Last updated
- May 21, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | PR | Yes |
Practice location
388 Zona Industrial Preparada 2Ponce, PR 00716
Phone 787-840-2575
Mailing address
Po Box 7004Ponce, PR 00732-7004
Phone 787-840-2575
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,030 Student in an Organized Health Care Education/Training Program providers in Ponce · All 4,407 providers in Ponce
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