Provider Demographics
NPI:1477388163
Name:OZORIO, CHRISTIAN GERARDO ISRAEL (RN)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:GERARDO ISRAEL
Last Name:OZORIO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 HIGHLAND CIR
Mailing Address - Street 2:
Mailing Address - City:RIO RICO
Mailing Address - State:AZ
Mailing Address - Zip Code:85648-3327
Mailing Address - Country:US
Mailing Address - Phone:520-860-0766
Mailing Address - Fax:
Practice Address - Street 1:1919 W MEDICAL ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1133
Practice Address - Country:US
Practice Address - Phone:520-297-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ283262163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse