Individual provider · Type 1 NPI
Ivelisse Fontanez, MSN
Gerontology Registered Nurse · Rio Grande, PR
NPI number
1750682183
Active
Practice location
Calle 5 D-19 Estancias Del Madrigal
Rio Grande, PR 00745
Mailing address
PO Box 3382
Rio Grande, PR 00745-3382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse Primary | 163WG0600X | 31455 (PR) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 31455 (PR) |
Gerontology Registered Nurse: Definition to come...
About NPI 1750682183
Ivelisse Fontanez, MSN's National Provider Identifier is 1750682183, issued on Nov 17, 2010. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Rio Grande, PR. The record was last updated on Nov 17, 2010.