NPI | 1386228153 |
---|---|
Former Name | REYNALDO ALVAREZ RODRIGUEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 259426) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN201281) |
363LF0000X Nurse Practitioner, Family (Licence: AZ 259426) | |
Enumeration Date | 2021-05-08 |
Last Update Date | 2021-07-08 |