Provider Demographics
NPI:1023369220
Name:GALARZA, EULOGIO (RN)
Entity Type:Individual
Prefix:MR
First Name:EULOGIO
Middle Name:
Last Name:GALARZA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE LOMBARDIA # 9
Mailing Address - Street 2:URB. GONZALEZ ZEIJO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-240-6078
Mailing Address - Fax:
Practice Address - Street 1:CALLE LOMBARDIA # 9
Practice Address - Street 2:URB. GONZALEZ ZEIJO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-240-6078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6769163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse