Provider Demographics
NPI:1275729188
Name:JOGLAR, VIVIAN JANNETTE (RN)
Entity Type:Individual
Prefix:MRS
First Name:VIVIAN
Middle Name:JANNETTE
Last Name:JOGLAR
Suffix:
Gender:F
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:URBANIZACION VILLA DEL CARMEN # 1004 CALLE SALERNO
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-844-0101
Mailing Address - Fax:
Practice Address - Street 1:BO MACHUELO CARRETERA 14
Practice Address - Street 2:HOSPITAL STQ FORENSE PONCE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-844-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR25427164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse