Individual
NERIEL GONZALEZ TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
236155
CT
246ZC0007X
Surgical Assistant
23-407
WI
Other
Enumeration date
05/30/2023
Last updated
12/11/2025
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