Provider Demographics
NPI:1457979015
Name:ANGEROSA TU SALUD INC
Entity Type:Organization
Organization Name:ANGEROSA TU SALUD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:Q
Authorized Official - Last Name:VELAZQUEZ
Authorized Official - Suffix:II
Authorized Official - Credentials:RN
Authorized Official - Phone:787-546-1536
Mailing Address - Street 1:1-101 PASEO ESMERALDA FAJARDO CALLE 21
Mailing Address - Street 2:1-101 PASEO ESMERALDA CALLE 21
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738
Mailing Address - Country:US
Mailing Address - Phone:787-546-1536
Mailing Address - Fax:
Practice Address - Street 1:1-101 PASEO ESMERALDA FAJARDO CALLE 21
Practice Address - Street 2:1-101 PASEO ESMERALDA CALLE 21
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-546-1536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty