Individual
MRS. GLENDA ENEIDA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1502 CALLE BORI, URB ANTONSANTI, SAN JUAN, PR 00927
(787) 213-5185
(787) 654-9954
Mailing address
B2 CALLE CONDE, URB PASEOS REALES, ARECIBO, PR 00612
(787) 213-5185
(787) 654-9954
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
19213
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831234301
PEDIATRIC HOME CARE
PR
Enumeration date
12/28/2016
Last updated
12/28/2016
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