Provider Demographics
NPI:1417223801
Name:NAZARIO, NARIELY (MD)
Entity Type:Individual
Prefix:DR
First Name:NARIELY
Middle Name:
Last Name:NAZARIO
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:HC03 BOX 27513
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00667
Mailing Address - Country:UM
Mailing Address - Phone:787-382-1078
Mailing Address - Fax:
Practice Address - Street 1:CARR 315 KM 1.2 BO SABANA YEGUAZ
Practice Address - Street 2:
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667
Practice Address - Country:US
Practice Address - Phone:787-899-2094
Practice Address - Fax:787-899-2094
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18381208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice