Provider Demographics
NPI:1558374348
Name:GIGUEROA-DIAS, EDNA G (RN)
Entity Type:Individual
Prefix:MRS
First Name:EDNA
Middle Name:G
Last Name:GIGUEROA-DIAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:EDNA
Other - Middle Name:G
Other - Last Name:FIGUEROA-MAISONET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36000 DARNALL LOOP
Mailing Address - Street 2:CARL R DARNALL ARMY MEDICAL CENTER
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-286-7851
Mailing Address - Fax:254-288-8875
Practice Address - Street 1:36000 DARNALL LOOP
Practice Address - Street 2:CARL R DARNALL ARMY MEDICAL CENTER GEN. SURGERY CLINIC
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-286-7851
Practice Address - Fax:254-288-8875
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9965163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse