Tanialy Casillas
Individual provider Active NPI Registered Nurse · Naguabo, PR
NPI 1154700573 · NPPES record last updated May 19, 2015
Key facts
- NPI
- 1154700573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 18054 (PR)
- Practice address
- HC 1 Box 4593
Naguabo, PR 00718-9722 - Phone
- (787) 641-0773
- Fax
- (787) 887-0219
- NPI assigned
- May 19, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18054 | PR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 18054 | PR | Yes |
Addresses
Primary practice location
HC 1 Box 4593
Naguabo, PR 00718-9722
Mailing address
HC 1 Box 4593
Naguabo, PR 00718-9722
Other providers in Naguabo, PR
- Barbara Bustillo
- Caleb Medical Supplies, Inc.
- Manuel E. Calzada
- Wilmarie Carrasquillo Brenes
- Iris Janet Casiano
- Xiomara Casillas
- CDT Pena Pobre
- Centro de Bienestar Integral Mina LLC
- Centro de Diagnostico Y Tratamiento de Naguabo
- Centro de Diagnostico Y Tratamiento Naguabo
All providers in Naguabo, PR · Registered Nurse in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.