Individual provider · Type 1 NPI
Tanairy Olivencia Gonzalez
Emergency Registered Nurse · Penuelas, PR
NPI number
1457112906
Active
Practice location
Urb Santo Domingo 2, Parcela 157
Penuelas, PR 00624
Mailing address
PO Box 961
Penuelas, PR 00624-0961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 101042 (PR) |
| Emergency Registered Nurse Primary | 163WE0003X | 101042 (PR) |
Emergency Registered Nurse: Definition to come...
About NPI 1457112906
Tanairy Olivencia Gonzalez's National Provider Identifier is 1457112906, issued on Jan 22, 2024. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Penuelas, PR. The record was last updated on Jan 22, 2024.