Individual
NICOLAS GRISALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 CALLE PALMA, ARECIBO, PR 00612-4526
(787) 650-1030
Mailing address
HC 83 BOX 6615, VEGA ALTA, PR 00692-9778
(603) 289-6980
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
110085
PR
367500000X
Certified Registered Nurse Anesthetist
Primary
11027970
FL
Other
Enumeration date
06/14/2023
Last updated
02/16/2025
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