Provider Demographics
NPI:1528027109
Name:NAZARIO, WALESKA MILAGROS (RN)
Entity Type:Individual
Prefix:MRS
First Name:WALESKA
Middle Name:MILAGROS
Last Name:NAZARIO
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:W8 CALLE MONTE DEL ESTADO
Mailing Address - Street 2:COLINAS METROPOLITANAS
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5238
Mailing Address - Country:US
Mailing Address - Phone:787-790-0094
Mailing Address - Fax:
Practice Address - Street 1:W8 CALLE MONTE DEL ESTADO
Practice Address - Street 2:COLINAS METROPOLITANAS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5238
Practice Address - Country:US
Practice Address - Phone:787-790-0094
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR012640163WP0809X
PR1171364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Not Answered364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1171OtherCLINICAL SPECIALIST
PR012640OtherREGISTERED NURSE