Healthcare Provider Details

I. General information

NPI: 1316344120
Provider Name (Legal Business Name): SENSAS-FLORES GELIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2014
Last Update Date: 11/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 RAHWAY AVE APT B8
ELIZABETH NJ
07202-1925
US

IV. Provider business mailing address

215 RAHWAY AVE APT B8
ELIZABETH NJ
07202-1925
US

V. Phone/Fax

Practice location:
  • Phone: 908-248-1599
  • Fax:
Mailing address:
  • Phone: 908-248-1599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number8771303
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: