Individual
TANIALY CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 1 BOX 4593, NAGUABO, PR 00718-9722
(787) 641-0773
(787) 887-0219
Mailing address
HC 1 BOX 4593, NAGUABO, PR 00718-9722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
18054
PR
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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