Provider Demographics
NPI:1891097796
Name:FUGUEROA, ZULEMA Q (RN)
Entity Type:Individual
Prefix:
First Name:ZULEMA
Middle Name:Q
Last Name:FUGUEROA
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:F15 CALLE 11
Mailing Address - Street 2:URB. METROPOLIS
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-7424
Mailing Address - Country:US
Mailing Address - Phone:787-638-1512
Mailing Address - Fax:
Practice Address - Street 1:F15 CALLE 11
Practice Address - Street 2:URB. METROPOLIS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-7424
Practice Address - Country:US
Practice Address - Phone:787-638-1512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-28
Last Update Date:2010-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR20860163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care