report covered by category and line of authority
TRANSCRIPT
Commonwealth of Puerto Rico Office of the Commissioner of Insurance
Page 1 of 28
Arguinzoni Ramos Myrna Mansiones de los Cedros 156 Maga Cayey PR 00736
7872634811 Y 15487 Property & Casualty,Life,Disability
1/31/2016
Arrillaga Estrella Vanessa PO Box 13756 San Juan PR 00908 7875051239 [email protected] Y 10871 Life,Health Services,Property,Disability
3/31/2016
AZCONA STEPHEN 4941 SW 104TH TER COOPER CITY FL 33328-4048
9542614205 [email protected] N 100107000 Health Services,Variables,Life 7/30/2016
Acosta Jordan Jose Urb. Garden Ville D-24 Calle Argentina Guaynabo PR 00966
7876925083 [email protected] Y 21298 Life,Variables 3/31/2017
AGUIRRE CATHERINE 18710 SW 4TH ST PEMBROKE PINES FL 33029-5402
9546826677 [email protected] N 100108240 Health Services,Life 2/13/2017
ALBERTS ANITA 179 SHAW DR ACWORTH GA 30102-3710
7706768844 [email protected] N 100108212 Life,Health Services 2/11/2017
ABREU ENRIQUE 4471 NW112 COURT DORAL FL 33178 3054424623 [email protected] N 6615 Life,Disability,Health Services 6/10/2016
ACEVEDO OCASIO FELIX PO BOX 140382 ARECIBO PR 00614-0382
7873709545 [email protected] Y 100104455 Life,Health Services,Disability 1/31/2017
Acosta Gonzalez Jaime PO Box 9021293 San Juan PR 00902-1293
7877910234 [email protected] Y 353 Title,Property & Casualty,Disability
5/31/2017
ANDREWS DIANA HEALTHPLAN SERVICES INC 3501 E FRONTAGE RD TAMPA FL 33607-1742
8132891000 [email protected] N 100109011 Health Services 6/3/2017
Aponte Otero Marisol PO Box 190645 San Juan PR 00919 7876305708 [email protected] Y 5437 Property & Casualty,Life 5/31/2016
Ares Ubarri Manuel PO Box 9021865 San Juan PR 00902 7876416567 Y 1126 Life,Disability,Property & Casualty,Title
5/31/2016
Alvarez Diaz Candida Los Eucaliptos 17009 Sanders Dr. Canovanas PR 00729-4525
7875981085 [email protected] Y 5444 Disability,Property & Casualty,Title,Life
6/30/2017
Alvarez Quinonez Alberto PO Box 41057 San Juan PR 00940 7876149456 [email protected] Y 168 Life,Property & Casualty,Disability,Title
8/31/2017
Alvarez Velazquez Jose PO Box 9934 San Juan PR 00988-9934 7879557054 [email protected] Y 8698 Life,Title,Property & Casualty,Disability
7/31/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 2 of 28
BERGELAND NATHAN 7012 WILLOW CREEK ROAD EDEN PRAIRIE MN 55344
9528290000 [email protected] N 100109609 Life,Variables,Health Services,Disability
8/27/2017
Benitez Cirino Myrna 327 Calle Gautier Benitez San Juan PR 00915
7875987692 [email protected] Y 16452 Property & Casualty,Title,Disability
8/31/2016
Benitez Colon Jose PO Box 9023633 San Juan PR 00902 7876989814 [email protected] Y 12131 Property & Casualty,Disability,Title
8/31/2016
Benitez Miranda Manuel PO Box 19508 San Juan PR 00910 7877890782 Y 6505 Property & Casualty,Title,Life,Disability
10/31/2016
BANIGAN MICHAELFINANCIAL RISK SERVICES LLC 6900 DALLAS PKWY STE 200 PLANO TX 75024-7126
9726087160 [email protected] N 100107146 Property & Casualty 8/20/2016
BARCLAY LORRAINE 3151 STILLHOUSE CREEK DR SE UNIT 23301 ATLANTA GA 30339-3549
6789045928 [email protected] N 100107471 Health Services,Life 10/13/2016
BAKER JERRY 1256 MAIN ST STE 249 SOUTHLAKE TX 76092
8174550096 [email protected] N 100107147 Life,Health Services 8/20/2016
Ballester Tio Tomas PO Box 364804 San Juan PR 00936 7874097686 [email protected] Y 14091 Property & Casualty,Disability,Title
12/31/2016
BARRERA ALFREDO PO BOX 1388 HOUSTON TX 77251 7133461251 [email protected] N 100109140 Property & Casualty 6/19/2017
BASULTO ELISAASSURANT SPECIALTY PROPERTY 11222 QUAIL ROOST DR MIAMI FL 33157-6543
8008522244 [email protected] N 100108515 Property & Casualty 3/23/2017
BENCHICH MATTHEW 2264 S MARION ST DENVER CO 80210-4539
3033793346 [email protected] N 100106468 Health Services,Life 5/21/2016
BARRETT WILLIAM AETNA 7400 W CAMPUS RD NEW ALBANY OH 43054-8725
6149338099 [email protected] N 100107360 Life,Health Services,Disability 9/22/2016
BARTLETT NELLY 16923 SE 38TH PLACE BELLEVUE WA 98008
3125190100 [email protected] N 100107420 Health Services,Life 9/30/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 3 of 28
BORCICH MICHAEL 2750 MCALLISTER STREET 205 SAN FRANCISCO CA 94118
6503690200 [email protected] N 100108795 Property & Casualty 4/29/2017
Book Michael 530 Fifth Avenue Floor 14 New York NY 10036
2125367713 [email protected] N 65165 Life,Health Services,Disability,Variables
6/30/2017
BOONE PATRICK 7306 S SPARKMAN ST TAMPA FL 33616 8132891000 [email protected] N 100109004 Life,Variables,Health Services 6/3/2017
BORCHERS TERRY 1013 GALLERIA BOULEVARD SUITE 250 ROSEVILLE CA 95678
9165801809 [email protected] N 100107042 Property & Casualty 8/6/2016
BONNEY DARIEN P O BOX 51798 MESA AZ 85208 4805382915 [email protected] N 100107659 Life,Health Services 10/30/2016
BIALIK MICHAEL 29552 LOS OSOS LAGUNA NIGUEL CA 92677
9496971445 [email protected] N 100107319 Life,Health Services 9/16/2016
Bixler Killian Ralph 1606 Ponce De Leon Suite 402 San Juan PR 00909
7877258585 Y 14002 Disability,Life,Property & Casualty
10/31/2016
BESSELMAN THOMASGALLAGHER BENEFIT SERVICES, INC. 6421 PERKINS ROAD BUILDING A, SUITE 2B BATON ROUGE LA 70808
2257670334 [email protected] N 100107104 Health Services,Life 8/13/2016
Betancourt Rivera BenjaminUrb. Parque Montebello E-10 Calle 2 Trujillo Alto PR 00976 7877486898 [email protected] Y 1346
Title,Health Services,Life,Disability,Property & Casualty
5/31/2016
Black Kristine PO Box 452 Boca FL 33429 5618662592 [email protected] N 100102623 Variables,Life 11/15/2016
Blay Caballero Jorge PO Box 11016 San Juan PR 00922 7877815842 [email protected] Y 4817 Property & Casualty,Life,Disability,Title
10/31/2016
BODNAREK CLAYTONESECURITEL AGENCY LLC 2325 LAKEVIEW PKWY STE 700 ALPHARETTA GA 30009-7921
[email protected] N 100109396 Property & Casualty 7/27/2017
BLAIR CURTIS THE BLAIR GROUP, LLC 4413 71ST ST STE G100 LUBBOCK TX 79424-2319
8067714300 [email protected] N 100106553 Health Services,Life 6/3/2016
Blanco Maldonado Carmen PO BOX 79645 CAROLINA PR 00984-9645
7876894751 [email protected] Y 4683 Property & Casualty 9/30/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 4 of 28
CABAN MONICA 7014 CARNWARTH LN FORT MILL SC 29707
7046971322 [email protected] N 100107875 Life 12/12/2016
BUTT RONALD190 CANDELERO DRIVE APT. 154 CRESCENT BEACH BUILDING 2 HUMACAO PR 00791
5027530609 [email protected] Y 100109018Disability,Life,Variables,Health Services 6/30/2017
Buxo Perez Carlos PO Box 3945 Guaynabo PR 00970 7877178752 [email protected] Y 13097 Property & Casualty,Health Services,Life,Disability
11/30/2016
Caballer Diaz Christian PO Box 363283 San Juan PR 00936 7874390530 [email protected] Y 55851 Property & Casualty 10/31/2016
BROST EMIL ADVISORS EXCEL 2950 SW MCCLURE RD TOPEKA KS 66614-4120
7852711445 [email protected] N 100106048 Life 3/31/2016
BROWN COURTNEY 7205 HOMESTEAD PL SPRINGFIELD VA 22151-3301
7035313530 [email protected] N 100107084 Life 8/11/2016
Bren Andrew 5245 Shilshole Ave. NW Seattle WA 98107
2066071879 [email protected]
N 100102031 Property & Casualty 6/30/2016
BOUCHER SANDRA 2100 OLD FOREST DR HILLSBOROUGH NC 27278
8005553979 [email protected] N 100106735 Property & Casualty 6/27/2016
BRADEN TERRESA PO BOX 217 OOLOGAH OK 74053-0217 9186244767 [email protected] N 100109395 Health Services,Life 7/27/2017
Burgos Arce JorgeUrb. Floral Park 55 Gautier Benitez San Juan PR 00917 7876354119 Y 29083
Disability,Health Services,Life,Property & Casualty
7/31/2016
Burt Russell 51 Hilltop Avenue Blackwood NJ 8012 8569791008 [email protected] N 48951 Disability,Life,Health Services 6/30/2016
BUCKHEISTER KENNETH 5508 STONOVIEW DRIVE JOHNS ISLAND SC 29455
8432841052 [email protected] N 100106937 Health Services,Property & Casualty,Life
7/22/2016
BRUNO JEFFREY 108 MOUNTAIN AVE SOMERVILLE NJ 08876-1406
9734908505 [email protected] N 100109686 Property & Casualty 9/4/2017
Bruno Juan 13790 NW 4 Street Suite 110 Sunrise FL 33325
9543451215 [email protected] N 52329 Variables,Life,Health Services 6/30/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 5 of 28
Casellas Sastre Miguel Urb. Torrimar 13-28 Calle Toledo Guaynabo PR 00966
7874034700 [email protected] Y 9192 Property & Casualty,Health Services,Disability
9/30/2016
Casellas Sastre Patricia PO Box 10037 San Juan PR 00922-0037 7873790477 [email protected] Y 12084 Property & Casualty,Disability,Life,Title
3/31/2016
Casiano Labrador Ana Cond. Palmar Del Rio Box 352 Guaynabo PR 00969
7875962626 [email protected] Y 11871 Property & Casualty,Disability,Life
5/31/2016
Cappas Vazquez Edward Coco Beach 136 Bahia Rio Grande PR 00745
7876575495 [email protected] Y 11190 Life,Property & Casualty,Disability
5/31/2016
CARBONE PETER 9 COPPERDALE LANE HUNTINGTON NY 11743
5163332340 [email protected] N 100107145 Property & Casualty 8/20/2016
Cacho Corretjer Delio Urb. Parque Central 520 Sergio Cuevas - Apt. 1 San Juan PR 00918
7877667690 Y 4920 Property & Casualty,Title 5/31/2017
CANAPARO CARL1330 NORTH BROADWAY 204 WALNUT CREEK CA 94596 9259528680 [email protected] N 100108579
Life,Malpractice,Marine and Transportation,Disability,Vehicle,Property & Casualty,Health Services
4/1/2017
CARDIELLO-LEWIS MELISSA 174 SUPERIOR AVE NEWINGTON CT 6111
8603068160 [email protected] N 100107532 Life,Health Services 10/21/2016
Casanova Castro IngridINGRID M. CASANOVA CASTRO 561 CALLE ENSENADA SAN JUAN PR 00907-2428
7874868750 [email protected] Y 9358 Life,Property & Casualty,Title 10/31/2016
CASAREZ ACIDALIA 1814 MARYDALE DR DALLAS TX 75208-3031
4132059127 [email protected] N 100108213 Life,Health Services 2/11/2017
Carmona Hernandez Julia PO Box 79647 Carolina PR 00984 7877271446 [email protected] Y 2014 Title,Disability,Property & Casualty
11/30/2016
CARTER LAURA 6363 COLLEGE BLVD SUITE 500 OVERLAND PARK KS 66211
9136421666 [email protected] N 100109710 Life,Health Services 9/8/2017
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 6 of 28
Comas Ferrer Stanley Park Boulevard 2166 General Patton San Juan PR 00913
7877288898 [email protected] Y 6761 Disability,Life,Property & Casualty
3/31/2016
COLLINS JOHN 400 5TH AVE SUITE 600 WALTHAM MA 2451
7815474139 [email protected] N 100106791 Health Services,Life,Disability 7/8/2016
Colon Badillo Hiram Cond. Doral Plaza Apt.7M Guaynabo PR 00966
7876140909 [email protected] Y 50454 Property & Casualty 11/30/2016
COLLETT CHARLES 6076 LAUREL WREATH WAY COLUMBIA MD 21044
4104019491 [email protected] N 100107732 Disability,Health Services,Life 11/14/2016
CHERNIAWSKI MICHAEL 8856 FAWN RIDGE DR FT MYERS FL 33912
2392012717 [email protected] N 100109158 Health Services,Life,Variables 6/23/2017
CHIANA YVONNE 9888 BISSONNET ST SUITE 246 HOUSTON TX 77036
7138598161 [email protected] N 100109625 Life,Health Services 8/31/2017
CASTRO ROBERTOCASTRO-DIEPPA LLC 28 BROADWAY STE 206 KISSIMMEE FL 34741-5748 4079001524 [email protected] N 56975
Life,Title,Vehicle,Disability,Fraternal Life,Marine and Transportation,Malpractice,Reinsurance,Agricultural,Property & Casualty,Health Services,Variables
5/7/2016
Cestero Lopategui Rafael PO Box 193468 San Juan PR 00919-3468 9399697676 [email protected] Y 10702 Disability,Life,Property & Casualty,Health Services
2/29/2016
CollCamalez Diaz Santiago268 Ave. Ponce de Leon Suite 1014 San Juan PR 00918 7876444813 [email protected] Y 8709
Health Services,Life,Property & Casualty,Variables,Title,Disability
3/31/2017
COLLEARY JAMES 115 WEST CENTURY ROAD SUITE PARAMUS NJ 7652
2014760029 [email protected] N 100109513 Health Services,Life,Variables 8/11/2017
CLARK RICHARDHUB INTERNATIONAL NW LLC 12100 NE 195TH ST STE 200 BOTHELL WA 98011-5768
4254894500 [email protected] N 100109425Life,Property & Casualty,Health Services 7/30/2017
Colberg Guerra Natalia Parque Forestal A-3 San Juan PR 00926 7874667392 [email protected] Y 11324 Life,Health Services,Disability 8/31/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 7 of 28
Cruz Ruiz Jose Urb. Munoz Rivera 9 Brisaida Guaynabo PR 00969
7877899293 [email protected] Y 58144 Property & Casualty 5/31/2016
CRAWFORD TYLER 122 EAST 42ND STREET STE. 720 NEW YORK NY 10168
8009279800 [email protected] N 100109368 Property & Casualty 7/22/2017
Cruz Alverio JoseVilla Carmen O-14 Ave Luis Munoz Marin Caguas PR 00725 7876381585 [email protected] Y 1434
Life,Health Services,Disability,Property & Casualty
5/31/2016
Cruz Martino Sonia PO BOX 363734 SAN JUAN PR 00936-3734
7873096950 [email protected] Y 374 Disability,Life 12/31/2015
COX THOMAS 9401 INDIAN CREEK PKWY STE 1300 OVERLAND PARK KS 66210-2021
9132025182 [email protected] N 100106597 Health Services,Life 6/10/2016
Cornish Thomas 1000 CORPORATE DR STE 400 FT LAUDERDALE FL 33334-3628
9549388788 [email protected] N 100100493 Property & Casualty 3/19/2016
CORRAL JOSE 515 S FLOWER ST STE 505 LOS ANGELES CA 90071-2270
7143305526 [email protected] N 100105863 Life,Health Services 3/11/2016
Cordero Acevedo Celso PO Box 362189 San Juan PR 00936 7872505350 [email protected] Y 11159 Life,Property & Casualty,Disability
6/30/2016
CONRY-OLCZAK CARLEANE PO BOX 27495 TAMPA FL 33623 8132891000 [email protected] N 100109005 Life,Variables,Health Services 6/3/2017
COOPER ROBERT 13219 NW 8 STREET MIAMI FL 33182 4048287662 [email protected] N 100109474 Property & Casualty 8/6/2017
Costanza Peter 3206 Wessex Circle Richardson TX 75082 9729916084 [email protected] N 52649 Property & Casualty 6/30/2016
Couto Octaviani Milagros Po Box 859 Catano PR 00963 7876676728 [email protected] Y 13306 Property & Casualty 10/31/2016
Costa Ramos Joaquin Mansiones Reales A-2 Calle Principe de Asturias Guaynabo PR 00969
7873420566 [email protected] Y 56511 Property & Casualty 5/31/2016
Correa Oliveras Jorge PO Box 366295 San Juan PR 00936 7872877732 [email protected] Y 3539 Disability,Property & Casualty,Life,Title
8/31/2016
COSSIO ALEXANDER PO BOX 1304 FOUNTAIN INN SC 29644 8646880121 [email protected] N 100106533 Life,Casualty,Property,Health Services
5/30/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 8 of 28
Del Valle Cuadrado Gregorio HC-1 Box 17613 Humacao PR 00791 7877331703 [email protected] Y 9827 Life,Disability,Property & Casualty
3/31/2016
DEGREGORIO ERIK 24 STILES RD STE 201B SALEM NH 03079-2878
6038933563 [email protected] N 100108189 Variables,Health Services,Life 2/5/2017
Del Pueblo Juan Oficina del Comisionado de Seguros Guaynabo PR 00968
7873042100 [email protected] Y 100103871 Fraternal Life 10/31/2015
Del Valle Cestero Rafael Cond. Villas del Mar Oeste Apt. 4-D 4735 Ave. Isla Verde Carolina PR 00979
7877050707 [email protected] Y 2510 Disability,Title,Life,Property & Casualty
6/30/2016
CUTY BRENDA3221 FLOWER REEF CIRCLE LEAGUE CITY TX 77573 2812365792 [email protected] N 100108298
Life,Agricultural,Reinsurance,Malpractice,Marine and Transportation,Fraternal Life,Disability,Vehicle,Title,Property & Casualty,Health Services
2/23/2017
DANIELS DEANNA 379 JAMESTOWN MANOR DR GARDENDALE AL 35071-4673
2053823074 [email protected] N 100109031 Health Services,Life 6/8/2017
Cuevas Umpierre Palmira Po. Box 365004 San Juan PR 00936 7877483195 [email protected] Y 12052 Property & Casualty,Disability 2/29/2016
Curet Martin Victor Cesar Gonzalez 475 Hato Rey PR 00918 7877514621 [email protected] Y 11572 Property & Casualty,Disability,Title
3/31/2016
Davidson John334 OAK BLUFF AVE STRATFORD CT 06615-7764 2038543420 [email protected] N 100100326
Life,Health Services,Disability,Property & Casualty
2/29/2016
De Jesus Diaz Juan Cond La Villa Garden Apts Apto 1104-AE Guaynabo PR 00970
7877830324 [email protected] Y 3086 Disability,Property & Casualty,Title
4/30/2017
De la Torre Lugo Francisco PO Box 360631 San Juan PR 00936 7877844617 [email protected] Y 53518 Property & Casualty 12/31/2016
DAYLEY BARRY 247 JEFFERSON P.O. BOX 526 AFTON WY 83110
5614722000 [email protected] N 100105816 Life,Variables,Health Services,Disability
3/4/2016
De Diego De Angers Raquel 1 CALLE TAFT APT 2A SAN JUAN PR 00911-1204
7877288903 Y 11074 Property & Casualty,Life,Disability,Title
7/31/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 9 of 28
Falcon Lugo Eddie PO Box 914 Saint Just PR 00978 7877723577 [email protected] Y 8885 Property & Casualty,Title,Disability
3/31/2017
EVANS CHRISTOPHER 7264 E STARLA DR SCOTTSDALE AZ 85255-3493
8005225555 [email protected] N 100107901 Variables,Life 12/16/2016
EVANS ROBERT WKA FINANCIAL, LLC 135 S MAIN ST STE 900 GREENVILLE SC 29601-2782
8642415464 [email protected] N 100108020 Variables,Disability,Life 1/7/2017
Fakouri Anthony Arkansas Insurance Agency, Inc 11501 Huron Lane Suite 3 Little Rock AR 72211
5016043057 [email protected] N 100103296 Life,Variables,Disability,Health Services
3/19/2017
Escudero Maymi Raul Apartado 9021250 San Juan PR 00902 7872494220 [email protected] Y 8019 Title,Disability,Property & Casualty
5/31/2016
DILLARD STEPHEN POST OFFICE BOX 1894 SUMTER SC 29151-0000
8034996623 [email protected] N 100108293 Life,Health Services 2/23/2017
DINARDI PETER 1 SUZANNE LANE PLEASANTVILLE NY 10570
9147411271 [email protected] N 100107015 Life 7/31/2016
Diaz Gallego Edwin PO Box 193909 San Juan PR 00919-3909 7877541780 Y 1146 Malpractice,Disability,Life,Property & Casualty
11/30/2016
Del Valle Ortiz Blanca PO BOX 9023340 SAN JUAN PR 00902-3340
7873792114 Y 11121 Life,Disability,Title,Property & Casualty
6/30/2016
Diaz Alicea Reinaldo PO Box 2209 Bayamon PR 00960-2209 7877634776 [email protected] Y 57178 Property & Casualty 1/31/2017
EAGAN JAY 6010 82ND ST STE 100 LUBBOCK TX 79424-0822
8067918504 [email protected] N 100108126 Life,Variables,Health Services 1/30/2017
Emanuelli Belaval Eduardo Urb. Golden Gate 27 Calle Diamante Guaynabo PR 00968
7877836743 [email protected] Y 7872 Life,Property & Casualty 4/30/2017
DUNLAP BRITTANY 2616 PARK ROAD UNIT F CHARLOTTE NC 28209
7049712300 [email protected] N 100107874 Life 12/12/2016
DIPHILIPPO SAMUEL 36 PROSPECT BAY DR W GRASONVILLE MD 21638
4104019526 [email protected] N 100106006 Life,Health Services 3/24/2016
DUBOIS GARY 14 CASALE DRIVE WARREN NJ 7059 6469239920 [email protected] N 100109587 Property & Casualty 8/25/2017
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 10 of 28
Gaitan Gonzalez Hector 270 Munoz Rivera 2do piso San Juan PR 00918
7877931490 [email protected] Y 2686 Life,Disability 6/30/2016
Gallaudet James 4022 NW 72 Ave. Coral Springs FL 33065 9549034298 [email protected] N 64173 Property & Casualty 7/8/2017
GAMACHE WARREN 415 CIDER MILL ROAD MOUNT SIDNEY VA 24467
8004627441 [email protected] N 100109466 Life 8/5/2017
Franco Ramos Wanda PO BOX 30627 SAN JUAN PR 00929-1627
7875987275 [email protected] Y 6359 Disability,Property & Casualty,Health Services,Life
2/29/2016
FUCCI ERIC 37 PINE STREET SAYVILLE NY 11782 6312189700 [email protected] N 100108161 Property & Casualty 2/3/2017
FUCHS SUSANNE 2 LONE OAK AVE WOLCOTT CT 06716-1519
8605804077 [email protected] N 100107476 Health Services,Life,Variables 10/14/2016
FERNANDEZ PABLO 1200 BRICKELL AVE STE 1270 MIAMI FL 33131-3212
4049261373 [email protected] N 100106152 Life 4/15/2016
FIELD PETER 6053 YEATS MANOR DR TAMPA FL 33616-1303
8132075582 [email protected] N 100106589 Life,Health Services 6/10/2016
Fernandez Delgado Maria P.O. Box 9023793 San Juan PR 00902 7877220008 [email protected] Y 10715 Property & Casualty 11/30/2016
FEILER WILLIAM N8294 850TH ST RIVER FALLS WI 54022-4231
6517021823 [email protected] N 100109572 Health Services,Life,Variables 8/21/2017
Fernandez Barreto Pedro PO Box 1397 Saint Just PR 00978 7875366273 [email protected] Y 12246 Disability,Life,Property & Casualty,Title
6/30/2016
FOURNIER RAYMOND P O BOX 11477 CHARLOTTE AMALIE VI 00801
3407768050 [email protected] N 100106572 Property & Casualty 6/5/2016
FOXX ANGELA 5550 BLAZER PARKWAY SUITE 150 DUBLIN OH 43017
6143564310 [email protected] N 100106999 Health Services,Life 7/30/2016
Fontanez Villafane Ramon PO Box 2239 Bayamon PR 00960 7877870969 Y 12771 Title,Property & Casualty,Disability,Life
12/31/2016
Flamand Lopez Jorge PO Box 10220 Santurce Sta. San Juan PR 00908
7876416580 [email protected] Y 4356 Property & Casualty 2/28/2017
Fonseca Bronzy Angela 869 Vance Circle NE Palm Bay FL 32905 3216104814 [email protected] N 100100671 Property & Casualty 4/9/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 11 of 28
Gonzalez Hernandez HectorParque Ecuestre G-59 Calle Dulce Sueno Carolina PR 00987 7877689197 [email protected] Y 2623
Disability,Life,Health Services,Title,Property & Casualty
9/30/2016
Gonzalez Mendoza Daniel PO Box 2081 Caguas PR 00726-1614 7874601614 [email protected] Y 9933 Health Services,Property & Casualty,Life,Disability
10/31/2016
GORDON SYLVIA 20236 HAGUE RD NOBLESVILLE IN 46062-9540
3177766770 [email protected] N 100107465 Life,Health Services 10/9/2016
GONZALEZ DE LEON FERNANDO PO BOX 1733 RIO GRANDE PR 00745 7876402533 [email protected] Y 16528 Property & Casualty 1/31/2016
Garcia Rullan Manuel PO Box 9024266 San Juan PR 00902-4266
7877893060 [email protected] Y 12566 Property & Casualty 3/31/2017
GARZA ANA 5005 FAUNTLEROY SW SEATTLE WA 98136
8887387478 [email protected] N 100108828 Property & Casualty 5/4/2017
GARCIA LAZARO 12820 TROTTER BLVD DAVIE FL 33330 8604091437 [email protected] N 100108042 Variables,Health Services,Life 1/15/2017
Gandia Morales Jose PO BOX 2468 Bayamon PR 00960 7877305529 [email protected] Y 6495 Disability,Property & Casualty,Life
8/31/2016
Garcia Gonzalez Manuel PO Box 9024266 Guaynabo PR 00902 7877200090 [email protected] Y 8976 Disability,Property & Casualty,Life
2/29/2016
GONZALEZ COLON ROBERTO PO BOX 2022 AIBONITO PR 00705 7873283535 [email protected] Y 11980 Property & Casualty,Marine and Transportation
5/31/2016
GONZALEZ DE LA ROSA BERNICE PO BOX 790 CIDRA PR 00739 7879816087 [email protected] Y 100103997Surety,Marine and Transportation,Property & Casualty,Malpractice
4/30/2017
Gomez Fas Luis PO Box 3450 Mayaguez PR 00681-3450 7878340000 [email protected] Y 35155 Property & Casualty 7/31/2016
GILTNER JAMES 534 GHENTWOOD DR. AKRON OH 44333
2165202160 [email protected] N 100107440 Life 10/6/2016
GOLDSTON JESSICA 91 HOMESTEAD ST MANCHESTER CT 6042
8606435022 [email protected] N 100108026 Health Services,Life 1/12/2017
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 12 of 28
HOELTKE LANCE 12532 RIDGEMOOR DR PROSPECT KY 40059
5022286283 [email protected] N 100107513 Life,Health Services 10/17/2016
HENRY THERESA 330 AVENIDA SANTA MARGARITA SAN CLEMENTE CA 92672
7149786300 [email protected] N 100109015 Health Services,Life 6/4/2017
Hernandez Castro Lynda PO Box 6544 San Juan PR 00914 7877261666 [email protected] Y 22993 Property & Casualty,Life,Disability
1/31/2016
HERNANDEZ PATRICIA 2845 SILVER SPRINGS CT. YORKVILLE IL 60560
3122440141 [email protected] N 100108827 Life 5/4/2017
Guerrero Suarez MariaCondominio Palmar del Rio 1 18 Avda. Arbolote Apt. 315 Guaynabo PR 00969-5512
7872109965 [email protected] Y 422Title,Disability,Property & Casualty 2/28/2017
Guillemard Noble Jaime 701 AV PNCE DE LEON STE 313 SAN JUAN PR 00907-3256
7875026576 [email protected] Y 56133 Life,Property & Casualty 8/31/2016
GRAHAM MATTHEW 2028 WESTRIDGE DRIVE CLEARWATER FL 33763
7272160859 [email protected] N 100105702 Disability,Life,Health Services 2/19/2016
GROSS STEPHEN 3330 CUMBERLAND BLVD. SUITE 900 ATLANTA GA 30339
7703354705 [email protected] N 100108864 Life,Health Services 5/7/2017
GUIMARAES TIAGO416 S. ROSEMEAD AVE SUITE B PASADENA CA 91107 9099520640 [email protected] N 100101264
Property & Casualty,Vehicle,Fraternal Life,Life,Health Services
6/30/2016
HAYS JEFFREY 40 PRINZ CT CHESHIRE CT 06410-2972 6174192604 [email protected] N 100108036 Property & Casualty 1/13/2017
HENDON JAMES 1741 CAMDEN AVE APT 5 LOS ANGELES CA 90025-4498
8669001957 [email protected] N 100108977 Life,Property & Casualty,Health Services
5/28/2017
HARRIS JOHN 8213 CHANCERY CT ALEXANDRIA VA 22308-1514
8003683484 [email protected] N 100107083 Life 8/11/2016
HASTON JOSEPH 4715 BONNY OAKS DR APT 906 CHATTANOOGA TN 37416-3841
4232947631 [email protected] N 100109467 Life,Health Services 8/5/2017
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 13 of 28
KEPESKY MICHAEL 69 TALAIS DR LITTLE ROCK AR 72223 8604091437 [email protected] N 100108367 Variables,Health Services,Life 3/3/2017
KAMARA FESTUS ZANDER INSURANCE 6213 CHARLOTTE PIKE NASHVILLE TN 37209-3038
6153561700 [email protected] N 100108457 Life 3/13/2017
Kavo Heide 4560 Island Reef Drive Wellington FL 33449
8775330118 N 62450 Variables,Life 1/9/2016
KELLETT ADA 44 MINISTERIAL BR BEDFORD NH 03110-5724
8776944015 [email protected] N 100108245 Variables,Life 2/17/2017
Juarbe Berrios Luis PO Box 13756 San Juan PR 00908 7876418139 [email protected] Y 5650Malpractice,Title,Property & Casualty,Disability,Health Services,Life
8/31/2016
Jimenez Castro Cesar PO BOX 9037 Bayamon PR 00960-9037 7877316574 [email protected] Y 13873 Life,Disability,Property & Casualty
8/31/2016
Jimenez Garcia Manuel PO Box 396 Arecibo PR 00613 7878782215 [email protected] Y 1945Disability,Health Services,Title,Property & Casualty,Life
8/31/2016
IGLESIAS FULBRIGHT HECTORWALDORF TOWERS APT 1402 CAROLINA PR 00979 7874742099 [email protected] Y 100103831
Marine and Transportation,Property & Casualty,Agricultural,Life,Surety
2/28/2017
JEFFREYS CAMERON 13309 STAGG HILL DRIVE CARMEL IN 46033
3177130812 [email protected] N 100109665 Life,Variables 9/2/2017
JOHNSON CRAIG 12567 EAGLES NEST DR BOKEELIA FL 33922-3315
2622068777 [email protected] N 100109159 Property & Casualty 6/23/2017
Jorge Oquendo Miriam P. O. Box 8617 Ponce PR 00732 7878417434 [email protected] Y 40121 Disability,Health Services 9/30/2016
JOSEPH PETER 5740 SW 116TH STREET CORAL GABLES FL 33156
9548025951 [email protected] N 100107843 Life,Health Services 12/9/2016
JOHNSON KIMBERLY 355 S BROADWAY #801 LEXINGTON KY 40508
6147630090 [email protected] N 100107162 Health Services,Variables,Life,Disability
8/25/2016
JOHNSON MICHAEL 11915 263RD AVENUE SE MONROE WA 98272
2068163302 [email protected] N 100106467 Property & Casualty 5/21/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 14 of 28
LEONG KIT Paseo del Prado Calle Campina 90 Carolina PR 00909
9175721024 [email protected] Y 100107035 Life,Health Services 8/5/2016
Lectora Soto Pablo PO Box 8617 Ponce PR 00732 7873747434 [email protected] Y 8236Property & Casualty,Disability,Health Services,Life
2/28/2017
LEE DAVID 19718 MABEL PL CASTRO VALLEY CA 94546
6502438407 [email protected] N 100109473 Casualty 8/6/2017
Lema Fabian 1600 Aspen Commons Ste. 600 Middleton WI 53562
8668366162 [email protected] N 100101290 Life,Health Services 6/30/2016
KNOWLTON JOHN 6677 BELGIAN KALAMAZOO MI 49009 2695321901 [email protected] N 100107315 Variables,Health Services,Life 9/16/2016
KRUPA COLETTA 7161 RIVER STYX ROAD MEDINA OH 44256
3306598419 [email protected] N 100106557 Life,Health Services 6/4/2016
Kleis Pasarell Gerald PO Box 9024216 San Juan PR 00902 7877227241 [email protected] Y 6006Property & Casualty,Disability,Life,Title,Variables
6/30/2016
KIRWAN JACQUELINE 108 E 38TH STREET APT 607 NEW YORK NY 10016
2124570535 [email protected] N 100106598 Life,Health Services 6/10/2016
KITCH MONSERRAT 14805 N 73RD ST SCOTTSDALE AZ 85260-3107
4803462000 [email protected] N 100108969 Health Services,Life 5/28/2017
Lebron Olivero Manuel Cond. Parque de las Fuentes 690 Cesar Gonzalez Apt. 303 San Juan PR 00918
7877638085 [email protected] Y 10732 Property & Casualty 2/29/2016
Lectora Larrauri Paul PMB 148 - Suite 67 35 J.C. de Borbon Guaynabo PR 00969
7873997499 [email protected] Y 8318 Disability,Life,Property & Casualty
8/31/2016
LAWRENCE YANIQUE 1302 WAUGH DR NO 412 HOUSTON TX 77019
7047085461 [email protected] N 100107426 Life,Variables,Health Services 10/1/2016
LASH LISA PARCEL INSURANCE PLAN PO BOX 66708 SAINT LOUIS MO 63166
3148729610 [email protected] N 100108854 Property & Casualty 5/6/2017
Latimer Feliciano Thomas PO Box 6544 San Juan PR 00914 7877261666 [email protected] Y 12905 Life,Property & Casualty,Disability,Title
1/31/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 15 of 28
Lugo Salls Maria Plaza Antilana 2-1701 151 Ave Cesar Gonzalez San Juan PR 00918
7876409680 [email protected] Y 17297 Disability,Health Services,Life 1/31/2017
LUDY JEFFREY2021 NORTH LEMANS BLVD 1408 TAMPA FL 33607 7277934872 [email protected] N 100107549
Disability,Health Services,Life,Reinsurance,Fraternal Life,Malpractice
10/22/2016
LOTVIN NANCI 16 FOX LANE DIX HILLS NY 11746 4072541500 [email protected] N 100108908 Life,Variables,Health Services 5/15/2017
LOYS RAUL 11141 SW 71ST AVE MIAMI FL 33156-3945
3056629181 [email protected] N 100106007 Health Services,Life,Disability 3/24/2016
Lopez Villafane Andres PO Box 40848 Minillas Station San Juan PR 00940
7877255855 Y 11287 Title,Property & Casualty,Disability,Life
9/30/2016
LLANES BELKYS 4115 W SWANN AVE TAMPA FL 33609-4328
8132891000 [email protected] N 100102683 Life,Health Services,Variables 4/23/2017
LOFTIS JOSHUACOBB STRECKER DUNPHY & ZIMMERMANN, INC. 150 S 5TH ST STE 2800 MINNEAPOLIS MN 55402-4239
6123492400 [email protected] N 100108156 Property & Casualty 2/3/2017
LEVENSAILOR BRITNI 690 PLUM DR BURLESON TX 76028-8433
8474312863 [email protected] N 100109181 Life 6/25/2017
LEWIS CHARLIE 515 NORTH BROAD STREET THOMASVILLE GA 31792-4424
2292263277 [email protected] N 100107419 Life,Health Services 9/30/2016
LOPEZ JESSICAC/O BROKERS ALLIANCE, INC. 16930 E PALISADES BLVD STE 100 FOUNTAIN HILLS AZ 85268-3731
4808169000 [email protected] N 100109149 Life 6/22/2017
Lopez Luna LuisVilla Caparra Calle J 21 Guaynabo PR 00966 7872737070 [email protected] Y 10604
Health Services,Disability,Title,Life,Property & Casualty
7/31/2016
Lopez del Castillo Franco Enrique44 Juan C. Borbon Street Guaynabo PR 00969 [email protected] Y 59047
Property & Casualty,Disability,Health Services,Life
3/31/2016
Lopez Gil Enrique PMB 149 Ave Esmeralda 405 Suite 2 Guaynabo PR 00969-4427
7876088406 [email protected] Y 17576 Property & Casualty 10/31/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 16 of 28
Matos Melendez Desiree Urb. Monte Brisas AA-15 Calle 1 Fajardo PR 00738
7873075608 [email protected] Y 29412 Property & Casualty 7/31/2016
Marroni Mark 138 River Road Suite 310 Andover MA 1810
9786896930 [email protected] N 100100448 Health Services,Life,Variables 3/15/2016
Martinez Angel Carmen PO Box 16025 San Juan PR 00908 7873547770 [email protected] Y 6145 Health Services,Property & Casualty,Disability,Life
5/31/2016
Martinez Melendez Margie Bairoa Golden Gate I Calle BB #4 Caguas PR 00725
7875947532 [email protected] Y 1974 Life,Property & Casualty,Health Services,Disability
4/30/2016
LYONS MAURICE 985 FIFTH AVENUE NEW YORK NY 10075
6466160982 [email protected] N 100107001 Health Services,Disability,Life 7/30/2016
Maceira Andujar Evelyn Ciudad Centro 25 Orocovix Carolina PR 00987
7874571010 [email protected] Y 36668 Disability,Health Services,Life 11/30/2015
Lugo Salls Maria Plaza Antillana Apt 2-1701 151 Cesar Gonzalez San Juan PR 00918
7876409680 Y 17297 Disability,Health Services,Life 1/31/2017
Lugo Salls Maria Plaza Antillana Apt 2-1701 151 Cesar Gonzalez San Juan PR 00918
7876200585 Y 17297 Disability,Health Services,Life 1/31/2017
Lugo Salls Maria Plaza Antilana 2-1701 151 Ave Cesar Gonzalez San Juan PR 00918
7876200585 [email protected] Y 17297 Disability,Health Services,Life 1/31/2017
Marin Pagan Rafael Mansion Norte ND-5 Camino de Villena Toa Baja PR 00949
7875876827 [email protected] Y 51820 Property & Casualty 9/30/2016
MARINO MICHAEL AMERICAN GLOBAL 1450 BRICKELL AVE STE 1400 MIAMI FL 33131-3449
3053519151 [email protected] N 100107107 Property & Casualty 8/14/2016
MARCANO RAUL 1662 SW 132 WAY DAVIE FL 33325 9543751536 [email protected] N 100106514 Life,Health Services 5/29/2016
Maldonado Reyes Geronimo Capitolio Plaza Calle del Muelle 100 San Juan PR 00901
7873474676 [email protected] Y 9351 Property & Casualty,Health Services,Life,Disability
9/30/2016
MALOY MICHAELMCGINTY GORDON AND ASSOCIATES 225 MARINA DRIVE SAINT SIMONS IS GA 31522
m N 100107473 Health Services,Life 10/14/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 17 of 28
Molina Robles Yajaira PO Box 362483 San Juan PR 00936 7875314042 [email protected] Y 546 Title,Property & Casualty,Disability
9/30/2016
Montes Ferrando Lazaro PO Box 362445 San Juan PR 00936-2445 7876744510 [email protected] Y 591 Disability,Property & Casualty,Health Services
12/31/2015
MILLER MATTHEW 130 BUSH STREET 6TH FLOOR SAN FRANCISCO CA 94104
4158598717 [email protected] N 100109668 Casualty,Property 9/3/2017
MITCHELL HOLLY 1920 HOUSTON RD PROSPERITY SC 29127
8034057260 [email protected] N 100109570 Property & Casualty 8/21/2017
MITCHELL KEVIN 100 GALLERIA PARKWAY SUITE 1050 ATLANTA GA 30339
7702219990 [email protected] N 100109141 Life 6/19/2017
MCGRATTY BRIAN 645 SAINT DUNSTAN WAY WINTER PARK FL 32792
4076919864 [email protected] N 100106389 Life,Health Services 5/13/2016
McNulty Michael 277 Park Ave. New York NY 10172 2125538033 [email protected] N 100101564 Life,Health Services,Disability 6/30/2016
MCDONOUGH JAMES 8921 CANYON FALLS BLVD. TWINSBURG OH 44087
3304864875 [email protected] N 100109345 Health Services 7/15/2017
MC CASLIN JEREMYCALEDONIAN INSURANCE GROUP, INC. PO BOX 60 MERCER ISLAND WA 98040-0060
2062329870 [email protected] N 100105869 Property & Casualty 3/12/2016
MCCANN JOHN 1550 VILLAGE SQUARE BLVD STE 1 TALLAHASSEE FL 32309-2773
8507025364 [email protected] N 100107774 Casualty 11/25/2016
MESSORE ILISE 80 FOOTE HILL RD NORTHFORD CT 06472-1367
8606591323 [email protected] N 100108603 Life,Health Services 4/9/2017
Milan Amadeo Ricardo Santa Maria Trinitaria #93 San Juan PR 00926
7877544406 [email protected] Y 6557 Disability,Title,Property & Casualty
1/31/2016
MERRICK BRETT 10008 91ST NE ARLINGTON WA 98223 2066953124 [email protected] N 100107361 Disability,Life 9/22/2016
Mediavilla Ostolaza Orlando Urb. Parque de Torrimar Calle 5 G-7 Bayamon PR 00959
Y 100106911 Property & Casualty 11/30/2016
Mendez Lopez Manuel Cond. Grand Atrium Piso 12 15 Rodriguez Cerra Santurce PR 00907
7876416555 Y 36942 Disability,Health Services 8/31/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 18 of 28
Nurre David 1148 Cheltenham Place Mainville OH 45039
5138526371 [email protected] N 56177 Life,Disability,Health Services 6/30/2016
NELSON GARY 100 LANCELOT DR FAIRFIELD CT 6824 2032548400 [email protected] N 100106396 Life,Health Services 5/13/2016
Nieves Ramos Candy PO Box 1128 San Lorenzo PR 00754 7878107780 [email protected] Y 6954 Property & Casualty,Life,Disability
5/31/2016
Novak Peter 104 ARDSLEY RD LONGMEADOW MA 01106-2504
4135392010 [email protected] N 100104395 Disability,Health Services,Life,Variables
8/16/2017
Mourino Cesar 2201 Briana Drive Brandon FL 33511 8139671328 [email protected] N 100100772 Life,Variables 4/17/2016
Moya Amelotti Carlos PO Box 190236 San Juan PR 00919 7872430352 [email protected] Y 15853 Life,Property & Casualty,Disability
3/31/2016
Moreno Roman Jose Carr # 2 km 19.0 Bo Candelaria Toa Baja PR 00956
9399699669 [email protected] Y 28609 Life,Property & Casualty,Title,Disability
3/31/2017
Morales Quintana MaritzaPMB 120 PO BOX 194000 San Juan PR 00919 7879930636 [email protected] Y 12187
Disability,Property & Casualty,Title,Life,Health Services
6/30/2017
Moreno Hereter Francisco PO Box 9021706 San Juan PR 00902 7877234161 Y 11823 Life,Disability,Property & Casualty,Title
12/31/2016
NEGRON MELISSA 6910 W WATERS AVE APT 1011 TAMPA FL 33634-2215
8132891000 [email protected] N 100109006 Health Services 6/3/2017
NEGRON RENE 10446 NW 46TH STREET DORAL FL 33178-2239
3056707626 [email protected] N 100108191 Life,Variables,Health Services 2/5/2017
Navarro Herrera Ramon 1007 Ave. Munoz Rivera Suite 1202 San Juan PR 00925
7877655035 [email protected] Y 8229 Life,Title,Disability,Property & Casualty
10/31/2016
MURTHY UMA 4647 W 103RD STE 2G OAKLAWN IL 60453
7085722323 [email protected] N 100109512 Life,Property & Casualty,Health Services
8/11/2017
NAUGHTON BRENDAN 2 GLENMOR DR NEWTOWN CT 06470-1452
2033595301 [email protected] N 100107925 Health Services,Life,Variables 12/17/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 19 of 28
Oria Gonzalez Frank PO Box 362541 San Juan PR 00936 7877554959 [email protected] Y 2365Life,Health Services,Disability,Property & Casualty
2/28/2017
OLSON ERIC 4425 FORTRAN DRIVE SUITE A SAN JOSE CA 95134
4082719500 [email protected] N 100109564 Life,Health Services 8/20/2017
ONEIL CARL 804 BLAIRMONT LANE LAKE MARY FL 32746
2023408743 [email protected] N 100109667 Health Services,Life 9/3/2017
Oquendo Rodriguez Iris Monte Verde 2128 Ruisennor St Dorado PR 00646
7873689378 [email protected] Y 100107550 Property & Casualty 1/31/2017
Olivieri Alicea Rosa PO Box 13883 San Juan PR 00908 7877234898 [email protected] Y 48416 Life,Property & Casualty 11/30/2016
O CONNOR SHARON 3 OLD OAK COURT BLOOMFIELD CT 6002
8605802613 [email protected] N 100108649 Life,Variables 4/16/2017
Oben Carreras Roberto Borinquen Gardens BB-03 Azalea St. San Juan PR 00926
7877203048 Y 2839 Property & Casualty,Disability,Title
7/31/2016
NUZZI JAMESC/O ECONOMIC PLANNING GROUP 105 MAXESS RD STE 300 MELVILLE NY 11747-3847
2018919500 [email protected] N 100106992 Life,Health Services 7/25/2016
O BRIEN PATRICK 90 SIGNAL RIDGE WAY E GREENWICH RI 2818
4018842205 [email protected] N 100109460 Health Services 8/5/2017
Oben Martino William PO Box 10927 San Juan PR 00922 7877810085 [email protected] Y 303 Disability,Title,Property & Casualty,Life
9/30/2017
OLAZAGASTI GONZALEZ MARIMER PMB 243 1353 AVE. LUIS VIGOREAUX GUAYNABO PR 00966
7875107707 [email protected] Y 100102736 Disability,Property & Casualty,Life,Health Services
9/30/2016
OLDHAM JEFFREY 100 BENEFITFOCUS WAY CHARLESTON SC 29492
8432841052 [email protected] N 100109097 Life,Health Services 6/16/2017
Ochoa Flores Antonio PO Box 192111 San Juan PR 00919 7877566352 [email protected] Y 8600 Life,Disability,Variables,Property & Casualty
11/30/2016
Ojeda Rivera Andres PO Box 4459 Carolina PR 00984 7873701003 [email protected] Y 57046 Life,Property & Casualty 10/31/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 20 of 28
Pashby Matthew 1408 Gables Ct. #1 Plano TX 75075 9729319989 [email protected] N 100101296 Disability,Life,Health Services 6/30/2016
Pagan Martinez Yazmin Parque de Monte Verde 10-2 Calle Tulip San Juan PR 00926
7874000427 [email protected] Y 16152 Disability,Health Services 11/30/2016
Pagan Rosario Pedro PO Box 190499 San Juan PR 00919-0499 7875314017 [email protected] Y 6161Health Services,Property & Casualty,Variables,Disability,Life,Title
5/31/2017
PARDUE KARA 3769 NORTH WOODRIDGE RD BIRMINGHAM AL 35223
2059991791 [email protected] N 100108464 Life,Health Services 3/16/2017
Ortiz Rodriguez Justo PO Box 364231 San Juan PR 00936-4231 7872738066 [email protected] Y 12226 Property & Casualty,Disability,Title
5/31/2016
OSLOWSKI GARY 1756 EVERGREEN LN PARK RIDGE IL 60068
3122090084 [email protected] N 100108667 Health Services,Life 4/20/2017
Ortiz Corea Reina Villa Carolina 172-18 Calle 438 Carolina PR 00985
7877212600 [email protected] Y 26177 Disability,Life 12/31/2015
Ortiz Otero Ivette HC 71 Box 6924 Cayey PR 00736 7874741010 Y 22297 Life,Property & Casualty,Disability
3/31/2017
OSTERGAARD CARL 1101 ADAMS ST APT 212 HOBOKEN NJ 07030-2224
2013528533 [email protected] N 100107922 Life,Health Services,Variables 10/8/2016
PACE AMBER 5701 N SHERIDAN RD APT 4Q CHICAGO IL 60660-4793
3129283067 N 100106734 Life,Health Services 6/26/2016
Pacheco Alcaide Jose Rio Piedras Heights 138 Salven San Juan PR 00926
7873706196 [email protected] Y 12943 Property & Casualty,Disability,Variables,Life
8/31/2016
Osuna Nunez Patricia Urb. Ciudad Univ. Calle 27 U-33 Trujillo Alto PR 00976
7876903999 [email protected] Y 15608 Property & Casualty 8/31/2016
PABON CANTING EDWIN PO BOX 191797 SAN JUAN PR 00919 7877750687 [email protected] Y 10613
Property & Casualty,Surety,Malpractice,Vehicle,Marine and Transportation,Life,Title,Disability
4/30/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 21 of 28
Purcell Marti Eileen EILEEN PURCELL PAZ GRANELA SAN JUAN PR 00917-5120
7877831649 [email protected] Y 13164 Disability,Life,Property & Casualty
9/30/2016
POLICASTRO ALEXANDER 3625 CURTIS LANE MIAMI FL 33133 3053212644 [email protected] N 100108922 Property & Casualty,Marine and Transportation
5/19/2017
Porrata Colon Felicita RR-7 Box 17095 Toa Alta PR 00953 7872799031 Y 9361 Disability,Title,Property & Casualty,Life
1/31/2016
POWERS KERRY 4590 E HERITAGE WOODS ROAD BLOOMINGTON IN 47401
3175186071 [email protected] N 100109611 Property & Casualty 8/27/2017
PERRY COLETTE 612 LOST KEY DR UNIT 602B PENSACOLA FL 32507-2696
8502917607 [email protected] N 100107031 Property & Casualty 8/4/2016
PEREZ ADRIANA 8661 NW 17 COURT PEMBROKE PINES FL 33024
9545932951 [email protected] N 100108926 Health Services,Life,Variables 5/20/2017
PEREZ ANGIE 2 GREENVIEW RD OAKWOOD HILLS IL 60013-1088
8153568822 [email protected] N 100108024 Property & Casualty 1/9/2017
PATTERSON MICHAEL 2120 COWPER DRIVE RALEIGH NC 27608
9198441777 [email protected] N 100106461 Life,Health Services 5/19/2016
Pereles Martinez Tomas PO Box 1022 Sabana Seca PR 00952 7877869286 [email protected] Y 15604 Property & Casualty,Disability,Title,Life
10/31/2016
Perez Domenech Maria PO Box 191977 San Juan PR 00919-1977 9399699000 [email protected] Y 12035Disability,Property & Casualty,Health Services,Title,Life
4/30/2016
Pericas Rivera Jaime PO Box 367400 San Juan PR 00936-7400 7877080347 [email protected] Y 11113 Disability,Life,Property & Casualty
6/30/2016
PERKINS ANNE 1200 WILKINS RD ERIE PA 16505-1239 3306598283 [email protected] N 100107716 Life,Health Services 11/12/2016
Perez Otero Jose PO Box 6376 Bayamon PR 00960 7877973192 [email protected] Y 155 Life,Disability,Property & Casualty,Health Services
12/31/2016
Perez Santana Diana Parkville Court RH 4-5 Guaynabo PR 00969
7875368031 [email protected] Y 9280 Life,Health Services,Disability 2/28/2017
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 22 of 28
Rios Vargas Orlando PO Box 2475 San Juan PR 00902 [email protected] Y 19366 Property & Casualty 2/29/2016
Rivera Aponte Karla Urb. Country Club 1155 Calle Olivia Paoli San Juan PR 00924
7877536018 Y 10159 Disability,Property & Casualty,Life
6/30/2016
Rivera Cotton Jose P.O. Box 3042 Guayama PR 00785 7876358233 [email protected] Y 13913 Property & Casualty,Title,Life,Disability
10/31/2016
RIORDAN THOMASRIORDAN %26 SCULLY INSURANCE SERVICE, LLC 815 COMMERCE DR OAK BROOK IL 60523-8838
6304685400 [email protected] N 100107371 Property & Casualty 9/23/2016
Ramos Coll Ramon PO Box 1016 Luquillo PR 00773-1016 [email protected] Y 1691 Disability,Life,Title,Property & Casualty
7/31/2016
Ramos Rodriguez Orlando PO Box 361893 San Juan PR 00936-1893 7875251930 [email protected] Y 59863Health Services,Disability,Property & Casualty,Life
4/30/2017
Quintana Pabon Erick PO Box 996 Guaynabo PR 00970 7877471808 Y 7248 Disability,Title,Property & Casualty
11/30/2016
RAISMAN MATTHEW 8763 BRIARWOOD MEADOW LANE BOYNTON BEACH FL 33473
2672552727 [email protected] N 100107715 Life,Health Services 11/11/2016
Rampolla Rosado Roberto PO Box 2794 Bayamon PR 00960 7874095882 [email protected] Y 13190 Life,Title,Disability,Property & Casualty
3/31/2016
REISING JOHN 1151 HARBOR BAY PARKWAY SUITE 136 ALAMEDA CA 94502
8474312863 [email protected] N 100109213 Life 6/29/2017
Reyes Martinez Enrique PO Box 6746 Santa Rosa Unit Bayamon PR 00960
7877873665 [email protected] Y 12519 Disability,Property & Casualty,Life
6/30/2016
REHOR JEFFREY 455 GREENWICH CIRCLE SPRING FL 34609-2723
3525934977 [email protected] N 100106047 Life,Health Services 3/31/2016
REID FRANKLINMETLIFE AUTO & HOME INS AGENCY INC 700 QUAKER LN WARWICK RI 02886-6681
8776380022 [email protected] N 100100926Life,Disability,Property & Casualty 5/19/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 23 of 28
SAEZ MALDONADO MARIA ESTANCIAS DE LA FUENTE AA-13 CALLE DUQUESA TOA ALTA PR 00953
7877174718 [email protected] Y 10499 Property & Casualty 7/31/2017
RUNGE DAVID KING COURT PLAYA 59 PH 201 SAN JUAN PR 00911
3037750727 [email protected] Y 100109524 Life 8/31/2017
RYAN KYLE 327 W BROADWAY GLENDALE CA 91204-1301
8184864267 [email protected] N 100108289 Health Services,Life 2/20/2017
Sadler Ian FDR Financial 4000 Hollywood Blvd. 49550 Hollywood FL 33021
9549615333 N 100103380 Life,Health Services 1/31/2016
Ruiz Rodriguez Gamalier PO Box 191851 San Juan PR 00919 7877541553 [email protected] Y 17722 Property & Casualty,Disability,Title,Life
8/31/2016
Rivera Rivera Felix PO BOX 2028 AIBONITO PR 00705-2028 7877355188 [email protected] Y 8553 Property & Casualty,Health Services,Life,Disability
2/28/2017
Rivera Vaquer Jose PO Box 192376 San Juan PR 00919 7875099164 Y 100105396 Property & Casualty 12/31/2015
RIVERA ESPARRA CARLOS PO BOX 1033 AIBONITO PR 00705 7876157756 [email protected] Y 10457Property & Casualty,Life,Disability,Health Services
8/31/2016
Rivera Olano Maria Cond Villas del Mar Este 5C Carolina PR 00979
7875091466 [email protected] Y 100107891 Property & Casualty 10/31/2016
Rodriguez Arce Ivan Encantada AN-31 Secc. Antillana Trujillo Alto PR 00976
7877553281 [email protected] Y 5723 Health Services,Property & Casualty,Title,Disability
3/31/2016
Rosado Morales Joaquin PO Box 3138 Guaynabo PR 00970 7872871155 [email protected] Y 15948 Disability,Health Services,Property & Casualty
5/31/2016
ROSS SCOTT 36 HILLTOP CIRCLE WHIPPANY NJ 7981
9734908632 [email protected] N 100109706 Property & Casualty 9/8/2017
Rodriguez Delgado Rodney PO Box 577 Aguada PR 00602 7873098222 [email protected] Y 9838 Disability,Property & Casualty,Life
6/30/2016
Rodriguez Pardo Beatriz Fountainblue Plaza - Apt. 901 3013 Ave. Alejandrino Guaynabo PR 00969
7876386272 [email protected] Y 1768 Life,Disability,Health Services 11/30/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 24 of 28
Schober Donald 2968 Chevy Chase Ln. Naperville IL 60564
3123562357 [email protected] N 100101565 Life,Property & Casualty,Health Services
6/30/2016
SCHULTE SARA 1003 BERKSHIRE ROAD ANN ARBOR MI 48104
7349132676 [email protected] N 100108760 Life,Health Services 4/27/2017
SCHUSTER KARL PO BOX 626 WALPOLE MA 02081-0626 5087406562 [email protected] N 100106852 Disability,Health Services,Life 7/14/2016
Savona Del Rosario Tomas Caribe Plaza 1802 San Juan PR 00901 7877638350 [email protected] Y 2248 Property & Casualty,Title,Disability
5/31/2017
Santiago Fonfrias AmauryPMB 41 - 400 Calle Calaf St. San Juan PR 00918 Y 48407
Life,Property & Casualty,Variables,Disability,Health Services
9/30/2015
Santiago Maura Emiliano PO Box 364392 San Juan PR 00936-3492 Y 745Health Services,Life,Disability,Property & Casualty,Title
2/28/2017
Salavitch David 24901 Woodland Circle Lee's Summit MO 64086
8166748067 [email protected] N 100101440 Property & Casualty 6/30/2016
SALVAGGIO ROSS 7331 CAREW ST HOUSTON TX 77074-4509
7137747331 [email protected] N 100106050 Life,Health Services 3/31/2016
Santiago Ramirez Carmelo Urb. Braulio Dueno Colon C-21 Calle 3 Bayamon PR 00959
7877860401 [email protected] Y 11632 Disability,Life,Title,Property & Casualty
6/30/2016
Santos Nieves William RR-1 Box 4314 Cidra PR 00739 7875282990 [email protected] Y 10815 Disability,Title,Property & Casualty
9/30/2016
SAUNDERS LESLIELESLIE SAUNDERS INS AGENCY INC 1535 DALE MABRY HWY STE 101 LUTZ FL 33548-3001
8139498964 [email protected] N 100109456Property & Casualty,Life,Health Services 8/3/2017
Santiago Torres Aladino Urb. Sultana # 56 Calle Sevilla Mayaguez PR 00680
7878349394 [email protected] Y 3170 Title,Life,Disability,Property & Casualty
10/31/2016
Santiago Vazquez Rene PMB 289 PO BOX 4956 Caguas PR 00725
9399692967 Y 100106356 Property & Casualty 4/30/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 25 of 28
STEWART JAMES 980 N MICHIGAN AVE STE 1400 CHICAGO IL 60611-7500
3122143625 [email protected] N 100109582 Property & Casualty 8/24/2017
Soto Lopez Juan PO BOX 10956 San Juan PR 00922 7873782878 [email protected] Y 8772 Property & Casualty 2/29/2016
SPITZER JAN 1981 NW 88TH CT MIAMI FL 33172-2637 3059086700 [email protected] N 100106095 Life,Health Services 4/7/2016
STAFFORD DARYLEVERACITY INSURANCE SOLUTIONS, LLC 260 S 2500 W STE 303 PLEASANT GROVE UT 84062-4704
8663951308 [email protected] N 100107763 Property & Casualty 11/21/2016
Soto Ayala Margieann Urb. Sabanera del Rio 138 Calle Camino de las Ceibas Gurabo PR 00778
[email protected] Y 36544 Property & Casualty 1/31/2017
SHAW KELLY 256 WEST 15TH STREET ELMIRA HEIGHTS NY 14903
6077383464 [email protected] N 100107992 Property & Casualty 12/22/2016
Silen Escudero Carlos 652 Calle Estado Apt. 200 San Juan PR 00907
7874617403 [email protected] Y 62738 Property & Casualty,Health Services,Disability,Life
5/31/2017
Segarra Janer Jorge PMB 615 Rd. 19 Guaynabo PR 00966-2700
7876400893 [email protected] Y 653 Life,Title,Property & Casualty,Disability
1/31/2017
Sepulveda Estrada Luis Paseo del Prado D-11 Camino Las Rosas San Juan PR 00926
7872830079 [email protected] Y 9186 Life,Title,Property & Casualty,Disability
2/28/2017
SIMONS LARRY 302 E COLUMBINE LN WESTFIELD IN 46074-9782
[email protected] N 100109651 Property & Casualty 9/1/2017
SNYDER RICHARD 10331 EMERALD WOODS AVENUE ORLANDO FL 32836
4072472543 [email protected] N 100105727 Life,Variables 2/20/2016
Snyder Wynona 10539 Dedeke Dr. New Braunfels TX 78132
2108920836 [email protected] N 52358 Life,Health Services,Disability 4/30/2017
Smith Bringas Ernesto Ext. Alameda A-18 Calle B San Juan PR 00926
7873801737 [email protected] Y 5042 Health Services,Title,Property & Casualty,Life,Variables,Disability
4/30/2017
SMITH DANAARCH INSURANCE GROUP INC. 11350 MCCORMICK RD STE 102 HUNT VALLEY MD 21031-1002
8006993845 [email protected] N 100106737Disability,Property & Casualty,Life,Marine and Transportation,Health Services
6/27/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 26 of 28
Vazquez Rivera Rene Cond. Villa del Mar Este Apto. 5-c Carolina PR 00979
7874296932 [email protected] Y 100105381 Property & Casualty 10/31/2015
Urrutia Valles Jorge PMB 652 1353 Ave. Luis Vigoreaux Guaynabo PR 00966
7872771919 [email protected] Y 9806 Title,Life,Disability,Property & Casualty
11/30/2016
VALORI JOHN 21 BARBARA DRIVE SPRINGFIELD PA 19064
3027651712 [email protected] N 100106072 Property & Casualty 4/3/2016
Varela Muniz Maria Paseo del Prado B19 Calle 4 San Juan PR 00926
7875791557 [email protected] Y 3028 Property & Casualty,Life,Disability,Title
8/31/2016
TURNER CELMIRA 10462 TOFFENHAM DR FRISCO TX 75035
2143856029 [email protected] N 100106903 Life,Health Services 7/16/2016
SWENSON RICHARD 3464 CRESTMOOR DR WOODBURY MN 55125
8668346311 [email protected] N 100109410 Life,Variables,Health Services 7/28/2017
Talavera Ramirez TamaraPMB 230 400 calle Calaf San Juan PR 00917 7877212268 [email protected] Y 11086
Life,Property & Casualty,Disability,Health Services
6/30/2016
STEWART JOHN 132 W PIERPONT AVE STE 250 SALT LAKE CITY UT 84101-1904
8013359411 [email protected] N 100108017 Life,Health Services 10/17/2016
STUDER ERIC 1047 SOUTH KIMBLES ROAD YARDLEY PA 19067
2159623720 [email protected] N 100107148 Life,Variables 8/21/2016
THOMPSON ANGELA 15487 BLUE HERON COURT SAN LEANDRO CA 94579
5104995579 [email protected] N 100109689 Life 9/4/2017
Torres Pacheco Domingo P.O. Box 10370 Ponce PR 00732 7878400810 [email protected] Y 3872Life,Property & Casualty,Disability,Title,Variables
10/31/2016
TRUDEAU COURTNEY 1845 NW 108TH AVE PLANTATION FL 33322
9543828125 [email protected] N 100106009 Life,Health Services,Disability 3/24/2016
Torres Correa Juan PO Box 140032 Arecibo PR 00614 7873565709 [email protected] Y 6433 Disability,Property & Casualty 5/31/2016
Torres Hernandez Evan Urb. Antillana 22 Plaza Santa Ana Cruz Trujillo Alto PR 00976
7873139225 [email protected] Y 11659 Life,Title,Property & Casualty,Disability
7/31/2017
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 27 of 28
WHITTEN MATTWHITTEN & ASSOCIATES 419 EAST TENNESSEE STREET FLORENCE AL 35630
8665582121 [email protected] N 100109669 Life,Health Services 9/3/2017
WHITTENBURG DANIELLINCOLN FINANCIAL ADVISORS 3165 MILLROCK DR STE 300 HOLLADAY UT 84121-4700
8019306460 [email protected] N 100108109 Life,Health Services 1/28/2017
WIENIEWITZ HENRY 256 BROOKE VALLEY BLVD KNOXVILLE TN 37922
8656912433 [email protected] N 100108517 Life,Variables,Health Services 3/24/2017
WHITING ANDREW 417 UNION LN BRIELLE NJ 08730-1407 7322671049 [email protected] N 100106723 Life,Variables 6/25/2016
Villaverde Cuebas Emilio PO Box 270195 San Juan PR 00927 7872004289 [email protected] Y 10136 Property & Casualty,Life,Disability,Title
3/31/2016
Waggoner SeanALLIANT INSURANCE SERVICES 5444 WESTHEIMER RD FL 9 HOUSTON TX 77056-5397
7137826125 [email protected] N 53000 Life,Health Services,Disability 6/30/2016
VEATCH MATTHEW 14413 RUSSELL ST OVERLAND PARK KS 66223-1804
9136479700 [email protected] N 100107334 Life,Variables 9/17/2016
VILLANUEVA CRUZ CARMEN REXVILLE BNZ. 25 CALLE 41 BAYAMON PR 00957
7877583246 [email protected] Y 7100 Property & Casualty,Title,Life,Disability
5/31/2016
WARNER ARTHUR 19106 TWO RIVER LANE BOCA RATON FL 33498
5613531170 [email protected] N 100106642 Property & Casualty 6/12/2016
WETHERILLE JOAN 7730 COUNTY ROAD 26 MINNETRISTA MN 55359
6128524261 [email protected] N 100108835 Health Services,Life,Variables 5/5/2017
WHITE JERRYAMERICAN FINANCIAL GROUP, LTD 1205 WESTLAKES DRIVE SUITE 365 BERWYN PA 19312
6102963393 [email protected] N 100107504 Life,Disability,Health Services 10/16/2016
WCISLEK JAMI 26900 OAKMEAD DR. PERRYSBURG OH 43551
3306598283 [email protected] N 100106465 Life,Health Services 5/20/2016
WEIRICK LYNN WKA FINANCIAL, LLC GREENVILLE SC 29601-2782
8642415464 [email protected] N 100108224 Life,Disability,Variables,Health Services
2/12/2017
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE
Page 28 of 28
WOJCIECHOWICZ AMY 401 WEST ALVA ST TAMPA FL 33603 8137278411 [email protected] N 100107198 Life,Health Services 8/30/2016
WILSON JAMES 773 MILLBROOK LN HAVERFORD PA 19041-1210
4845831783 [email protected] N 100108067 Health Services,Variables,Life 1/21/2017
WILLIAMSON MATTHEWINSURANCE OFFICE OF AMERICA INC 1855 W STATE ROAD 434 LONGWOOD FL 32750
4077883000 [email protected] N 100107662 Health Services,Life 10/31/2016
ZERANTE ANTHONY 7205 HOMESTEAD PL SPRINGFIELD VA 22151-3301
7037908010 [email protected] N 100108266 Life 2/18/2017
ZEMKE RICHARD 4423 HORSESHOE PICK LANE VALRICO FL 33594
8132891000 [email protected] N 100109007 Life,Variables,Health Services 6/3/2017
Ygartua Salgado Carlos PMB 425 1353 Ave Luis Vigoreaux Guaynabo PR 00966
7872459024 [email protected] Y 100109073 Property & Casualty 12/31/2016
WILLIAMS EDWARD PO BOX 60 MERCER ISLAND WA 98040 2602329870 [email protected] N 100105858 Property & Casualty 3/10/2016
WILLIAMS GREGORIACOVENTRY HEALTH CARE 1100 CIRCLE 75 PARKWAY, STE. 1400 ATLANTA GA 30339
6782022174 [email protected] N 100106464Reinsurance,Malpractice,Disability,Fraternal Life,Life,Health Services
5/20/2016
WILLIAMS JOHN 8210 OSAGE LANE BETHESDA MD 20817
3017184637 [email protected] N 100106989 Health Services,Life 7/24/2016
Report Covered by Category and Line of Authority
Individual - Producer
NAME ADDRESSPHONE
NUMBER EMAIL RESIDENTLICENSE NUMBER LINE OF AUTHORITY
EXPIRATION DATE