Provider Demographics
NPI:1962881888
Name:AGUIRRE, SHERLEY (RN)
Entity type:Individual
Prefix:
First Name:SHERLEY
Middle Name:
Last Name:AGUIRRE
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:V13 CALLE 14
Mailing Address - Street 2:EXTENSION VALLES DE ARROYO
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00714
Mailing Address - Country:US
Mailing Address - Phone:787-393-8010
Mailing Address - Fax:
Practice Address - Street 1:V13 CALLE 14
Practice Address - Street 2:EXTENSION VALLES DE ARROYO
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714
Practice Address - Country:US
Practice Address - Phone:787-393-8010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR75241163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse