Provider Demographics
NPI:1326792219
Name:LOURIDO CANALES, NAIOMY GRISELLE (MD)
Entity Type:Individual
Prefix:
First Name:NAIOMY
Middle Name:GRISELLE
Last Name:LOURIDO CANALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 865
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-9727
Mailing Address - Country:US
Mailing Address - Phone:787-955-5587
Mailing Address - Fax:
Practice Address - Street 1:FACTOR #1 CALLE G INTERIOR
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-955-5587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program