Provider Demographics
NPI:1447055660
Name:DIAZ ALICEA, NICOLE SHAIRY (RN)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:SHAIRY
Last Name:DIAZ ALICEA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:SHAIRY
Other - Last Name:DIAZ ALICEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:URB TURABO GARDENS CALLE 18 Z-11
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-246-6498
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL AUXILIO MUTUO, AVE PONCE DE LEON STOP 37 1/2
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR85973163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency