Individual
TANAIRY OLIVENCIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
URB SANTO DOMINGO 2, PARCELA 157, PENUELAS, PR 00624
(787) 462-4804
Mailing address
PO BOX 961, PENUELAS, PR 00624-0961
(787) 462-4804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
101042
PR
163WE0003X
Emergency Registered Nurse
Primary
101042
PR
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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