Healthcare Provider Details

I. General information

NPI: 1427722552
Provider Name (Legal Business Name): GLADYS NARVAEZ RN,MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 08/03/2021
Certification Date: 07/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE BRAUNBAUGH 1162 URB. GARCIA UBARRI
SAN JUAN PR
00925
US

IV. Provider business mailing address

U3-1 URB LAS LOMAS, SAN JUAN PR
SAN JUAN PR
00921
US

V. Phone/Fax

Practice location:
  • Phone: 787-753-9443
  • Fax:
Mailing address:
  • Phone: 787-753-9443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number70879
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: