Healthcare Provider Details

I. General information

NPI: 1891625406
Provider Name (Legal Business Name): NAHISHI TANAMA ALEJANDRO BSN,RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 8 BOX 9017
BAYAMON PR
00956-9650
US

IV. Provider business mailing address

RR 8 BOX 9017
BAYAMON PR
00956-9650
US

V. Phone/Fax

Practice location:
  • Phone: 787-516-2131
  • Fax:
Mailing address:
  • Phone: 787-516-2131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number107232
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: