IndividualActive
Tanairy Olivencia Gonzalez
NPI 1457112906 · Emergency Registered Nurse · Penuelas, PR
Provider details
- NPI number
- 1457112906
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 101042 (PR)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
Urb Santo Domingo 2
Parcela 157
Penuelas, PR 00624
Phone: (787) 462-4804
Mailing address
Po Box 961
Penuelas, PR 00624-0961
Registry dates
- Enumerated
- 2024-01-22
- Last updated
- 2024-01-22
- Certified
- 2024-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.