Active NPIIndividual providerSole proprietor

Tanairy Olivencia Gonzalez

Registered Nurse, Emergency in Penuelas, Puerto Rico

NPI Number1457112906
Practice location
Urb Santo Domingo 2, Parcela 157, Penuelas, PR 00624
Fax
—
Last updated
January 22, 2024

Tanairy Olivencia Gonzalez is a Registered Nurse, Emergency based in Penuelas, PR. Tanairy Olivencia Gonzalez practices in Penuelas, PR. The NPI Number for Tanairy Olivencia Gonzalez is 1457112906 and holds a License No. 101042 (PR). The current practice location address for Tanairy Olivencia Gonzalez is Urb Santo Domingo 2, Parcela 157, Penuelas, PR 00624 and can be reached out via phone at 787-462-4804.

Provider Profile Details

NPI Number
1457112906
Provider Name
Tanairy Olivencia Gonzalez
Provider Entity Type
Individual
Gender
Female
Address
Urb Santo Domingo 2, Parcela 157, Penuelas, PR 00624
Phone Number
787-462-4804
Primary Taxonomy
Registered Nurse, Emergency · 163WE0003X
Sole Proprietor
Yes
Provider Enumeration Date
January 22, 2024
Last Update Date
January 22, 2024
Certification Date
January 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Urb Santo Domingo 2
Parcela 157
Penuelas, PR 00624
Zip
00624
Phone Number
787-462-4804
Penuelas, PR 00624Get directions →

Provider Business Mailing Address Details

Address
Po Box 961
Penuelas, PR 00624-0961
City
Penuelas
State
PR
Zip
00624-0961
Phone Number
787-462-4804

License Information

License Number (1)
101042
License State (1)
PR
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
101042
License State (2)
PR
Taxonomy (2)
Registered Nurse, Emergency · 163WE0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tanairy Olivencia Gonzalez?

The NPI number of Tanairy Olivencia Gonzalez is 1457112906. It was assigned on January 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Tanairy Olivencia Gonzalez?

Tanairy Olivencia Gonzalez is registered under the primary taxonomy Registered Nurse, Emergency (code 163WE0003X), licensed in PR under license number 101042.

Where does Tanairy Olivencia Gonzalez practice?

The practice location is Urb Santo Domingo 2, Parcela 157, Penuelas, PR 00624. The office can be reached at 787-462-4804 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457112906 directly on the NPPES registry website.

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