Healthcare Provider Details

I. General information

NPI: 1386845170
Provider Name (Legal Business Name): DAIANNA ESCALERA R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. KENNEDY
MAUNABO PR
00707-9894
US

IV. Provider business mailing address

BO PALO SECO CALLE 4 CASA 329 HC 02 BOX 3717
MAUNABO PR
00707-9894
US

V. Phone/Fax

Practice location:
  • Phone: 787-207-5980
  • Fax:
Mailing address:
  • Phone: 787-207-5980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number3659
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: