Maricely Xiomary Gonzalez Marrero, NURSE

Individual provider Active NPI Registered Nurse · Caguas, PR

NPI 1689028706 · NPPES record last updated Apr 14, 2016

Key facts

NPI
1689028706
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
34301 (PR)
Practice address
B-5 Ave Gautier Benitez Anexo
Consolidated Mall
Caguas, PR 00725
Phone
(939) 242-7726
NPI assigned
Apr 14, 2016
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

LicenseStateTypeSpecialty
34301PRMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 34301 PR Yes

Addresses

Primary practice location

B-5 Ave Gautier Benitez Anexo
Consolidated Mall
Caguas, PR 00725

Mailing address

PO Box 147
Villalba, PR 00766-0147
Phone (787) 709-4130

Other providers in Caguas, PR

All providers in Caguas, PR · Registered Nurse in Puerto Rico

Sources for this page

Verify at the official NPI Registry.