Maria Gertrudis Penalba, BSN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

89122 Issued in PR

Practice address

240 Calle 16
Piedra Aguza
Juana Diaz, PR 00795

Phone

(939) 286-4198

NPI assigned

Jul 8, 2019

Last updated

Jul 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1801458195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 5781",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CALLE 16",
            "address_2": "PIEDRA AGUZA",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "939-286-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALBA",
        "first_name": "MARIA",
        "middle_name": "GERTRUDIS",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "89122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liana Padilla, B.S,N,
• Isabel Pagan Agosto
• Sharlene Pagan Rivera
• Vilma A Pagan, PH
• Pearle Vision Center of Puerto Rico, Inc
• Alejandra Penchi, PHARMD
• Xiomara Perez Alvarez
• Joangely Perez Garcia, LND
• Maria Victoria Perez Manon, MD
• Danna M Perez Torruella, M.D.

• General Practice Registered Nurse in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• General Practice Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.