Provider Demographics
NPI:1447523998
Name:OCASIO, RICHARD (BSN)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:OCASIO
Suffix:
Gender:M
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1686 CALLE PORTUGUES APT 2 A
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-299-8431
Mailing Address - Fax:
Practice Address - Street 1:1686 CALLE PORTUGUES
Practice Address - Street 2:APT 2A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3116
Practice Address - Country:US
Practice Address - Phone:787-299-8431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18792163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse