Provider Demographics
NPI:1053465625
Name:BAGUIO, CARMELEENE SUAREZ (NP)
Entity Type:Individual
Prefix:MS
First Name:CARMELEENE
Middle Name:SUAREZ
Last Name:BAGUIO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4361 LATHAM ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-1730
Mailing Address - Country:US
Mailing Address - Phone:951-680-9717
Mailing Address - Fax:951-680-9327
Practice Address - Street 1:36243 INLAND VALLEY DR
Practice Address - Street 2:110
Practice Address - City:WILDOMAR
Practice Address - State:CA
Practice Address - Zip Code:92595-9549
Practice Address - Country:US
Practice Address - Phone:951-600-7630
Practice Address - Fax:951-600-7164
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN324700163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology