Provider Demographics
NPI:1194487207
Name:CALES SANABRIA, WALBERTO (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:WALBERTO
Middle Name:
Last Name:CALES SANABRIA
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 CALLE CATALUNA
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-1622
Mailing Address - Country:US
Mailing Address - Phone:787-949-3833
Mailing Address - Fax:
Practice Address - Street 1:4145 AVE ARCADIO ESTRADA
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-3203
Practice Address - Country:US
Practice Address - Phone:787-896-1040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005893163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice