Provider Demographics
NPI:1497490270
Name:ALEJANDRO, GABRIELA J
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:J
Last Name:ALEJANDRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 W WOOLBRIGHT RD APT F101
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-6301
Mailing Address - Country:US
Mailing Address - Phone:561-306-2446
Mailing Address - Fax:
Practice Address - Street 1:2001 W WOOLBRIGHT RD APT F101
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6301
Practice Address - Country:US
Practice Address - Phone:561-306-2446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-04
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY744251367500000X
FLRN9377909163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered