Eliam Lazaro Aguilar Rollero, BSN RN SRNA

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · San Juan, PR

NPI 1689452252 · NPPES record last updated Sep 15, 2023

Key facts

NPI
1689452252
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
Dr. Jose Celso Barbosa Drive
San Juan, PR 00921
Phone
(787) 758-2525
Fax
(708) 782-4290
NPI assigned
Sep 15, 2023
Sex
Male
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
Credentials
Bachelor on Science - Nursing, Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PR Yes

Addresses

Primary practice location

Dr. Jose Celso Barbosa Drive
San Juan, PR 00921

Mailing address

420 Calle San Antonio Apt 301
San Juan, PR 00915-0003
Phone (832) 257-3705

Other providers in San Juan, PR

All providers in San Juan, PR · Student in an Organized Health Care Education/Training Program in Puerto Rico

Sources for this page

Verify at the official NPI Registry.