IndividualActive
Olwens Medina Gonzalez
NPI 1194503771 · Certified Registered Nurse Anesthetist · Juana Diaz, PR
Provider details
- NPI number
- 1194503771
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 93779 (PR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Mailing address
81 Portal Del Valle
Juana Diaz, PR 00795
Registry dates
- Enumerated
- 2023-09-15
- Last updated
- 2026-05-24
- Certified
- 2026-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.