IndividualActive
Jose Maciel, RN
NPI 1639064462 · Critical Care Medicine Registered Nurse · Philadelphia, PA
Provider details
- NPI number
- 1639064462
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- RN730033 (PA)
Specialties & taxonomies
Nursing Service Providers
Practice location
519 S 42nd St Apt 2f
Philadelphia, PA 19104-4443
Phone: (509) 961-3223
Approximate (ZIP-level) locationGet directions
Mailing address
519 S 42nd St Apt 2f
Philadelphia, PA 19104-4443
Registry dates
- Enumerated
- 2025-06-11
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.