1730828765 NPI number — AOLENYS GARCIA-DOMINGUEZ RN

Table of content: AOLENYS GARCIA-DOMINGUEZ RN (NPI 1730828765)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730828765 NPI number — AOLENYS GARCIA-DOMINGUEZ RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GARCIA-DOMINGUEZ
Provider First Name:
AOLENYS
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730828765
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/27/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 295
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VEGA BAJA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00694-0295
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-224-7082
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE FF BLOQUE II #41
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VEGA BAJA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00693-5659
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-224-7082
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  38129 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 38129 . This is a "COLEGIO DE PROFESIONALES DE ENFERMERIA DE PUERTO RICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com