Provider Demographics
NPI:1871397398
Name:GERENA GONZALEZ, VALERIA A
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:A
Last Name:GERENA GONZALEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PASEO LOS CORALES I
Mailing Address - Street 2:MAR CARIBE 578
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-630-2315
Mailing Address - Fax:
Practice Address - Street 1:PASEO LOS CORALES I
Practice Address - Street 2:MAR CARIBE 578
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-630-2315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program